Douglas Roy Wells, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CSW511 Issued in ID

Practice address

307 19TH St Ste A3
Lewiston, ID 83501-2086

Phone

(208) 746-2948

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Confluence Counseling and Education Center, LLC

  • Community/Behavioral Health Agency
  • Lewiston, ID
  • NPI 1912059361
  NPD (past)
• Klemp Optometry

  • Optometrist
  • Lewiston, ID
  • NPI 1972684488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255465639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WARNER AVE # B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014916",
            "telephone_number": "208-746-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 19TH ST STE A3",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012086",
            "telephone_number": "208-746-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DOUGLAS",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "CSW511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weber Pediatrics PLLC
• Jennifer Weber
• Tysen L Weber, MD
• Betty J Weeks, LCSW
• Philip Louis Weidner II, PA-C
• Tiffany Eileen Wells, NP-C
• Melissa A Welter, NP-C
• Aisha Lynn Wheeler, FNP
• Samantha Marie Wheeler, PA-C
• Whidbey Island Public Hospital District

• Counselor in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.