Active NPI
Katharina Wells, LMFT, LPCC, RN
- Marriage & Family Therapist
- Glendale, AZ
National Provider Identifier
1255354098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AZMFT15530
- Practice address
- 18205 N. 51St. Ave, Suite 109
Glendale, AZ 85308 - Phone
- (714) 345-2172
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | AZLPC19343 | AZ | |
| Professional Counselor | 101YP2500X | LPC2006 | CA | |
| Marriage & Family Therapist | 106H00000X | CAMFT34230 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT34230 | CA | |
| Marriage & Family Therapist | 106H00000X | AZMFT15530 | AZ | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | AZRN249135 | AZ | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN330115 | CA |
Addresses
Primary practice location
18205 N. 51St. Ave, Suite 109
Glendale, AZ 85308
Mailing address
29640 N. 132ND Drive
Peoria, AZ 85383
Phone (714) 345-2172
Other names 1
- Katharina Sellenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZLPC19343 | AZ | MD | Professional Counselor |
| LPC2006 | CA | MD | Professional Counselor |
| AZMFT15530 | AZ | MD | Marriage & Family Therapist |
| CAMFT34230 | CA | MD | Marriage & Family Therapist |
| MFT34230 | CA | MD | Marriage & Family Therapist |
| AZRN249135 | AZ | MD | Psychiatric/Mental Health Registered Nurse |
| RN330115 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1255354098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29640 N. 132ND DRIVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85383",
"telephone_number": "714-345-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18205 N. 51ST. AVE, SUITE 109",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "714-345-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KATHARINA",
"name_prefix": "Ms.",
"credential": "LMFT, LPCC, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "AZLPC19343",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPC2006",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "CAMFT34230",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT34230",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "AZMFT15530",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "AZ",
"license": "AZRN249135",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "RN330115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHARINA",
"last_name": "SELLENKO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.