Individual provider Active NPI

Katharina Wells, LMFT, LPCC, RN

  • Marriage & Family Therapist
  • Glendale, AZ
National Provider Identifier
1255354098
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AZMFT15530 Issued in AZ
Practice address
18205 N. 51St. Ave, Suite 109
Glendale, AZ 85308
Phone
(714) 345-2172
NPI assigned
Jul 25, 2006
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
AZLPC19343AZMDProfessional Counselor
LPC2006CAMDProfessional Counselor
AZMFT15530AZMDMarriage & Family Therapist
CAMFT34230CAMDMarriage & Family Therapist
MFT34230CAMDMarriage & Family Therapist
AZRN249135AZMDPsychiatric/Mental Health Registered Nurse
RN330115CAMDPsychiatric/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.

Verify at the official NPI Registry.