Organization Active NPI

Kati Wells CBT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
National Provider Identifier
1265018683
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 30, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000000OtherWE DO NOT HAVE THESE.

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@kwcbt.com
Direct Messaging Address kati@kwcbt.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.