Active NPI
Kati Wells CBT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bentonville, AR
National Provider Identifier
1265018683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KATI WELLS CBT
- Practice address
- 1116 S Walton Blvd Ste 116
Bentonville, AR 72712-6116 - Phone
- (479) 335-6482
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katlynne Wells, LPC
- Title
- Owner
- Phone
- (479) 335-6482
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1116 S Walton Blvd Ste 116
Bentonville, AR 72712-6116
Mailing address
1116 S Walton Blvd Ste 116
Bentonville, AR 72712-6116
Phone (479) 335-6482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | WE DO NOT HAVE THESE. |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@kwcbt.com | ||
| Direct Messaging Address | kati@kwcbt.com |
National Provider Directory
National Provider DirectoryLocations
1116 S Walton Blvd
Ste 116
Bentonville, AR 72712
Phone (479) 335-6482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Denver, CO
- NPI 1972316941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1265018683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 S WALTON BLVD STE 116",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126116",
"telephone_number": "479-335-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 S WALTON BLVD STE 116",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126116",
"telephone_number": "479-335-6482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATI WELLS CBT",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "KATLYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-335-6482",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WE DO NOT HAVE THESE.",
"identifier": "000000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@kwcbt.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1116 S Walton Blvd Ste 116",
"city": "Bentonville",
"state": "AR",
"country_code": "US",
"postal_code": "727126116",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kati@kwcbt.com",
"affiliation": "N",
"address_1": "1116 S Walton Blvd Ste 116",
"city": "Bentonville",
"state": "AR",
"country_code": "US",
"postal_code": "727126116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.