James D Wells Jr., LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10150 Issued in NC

Practice address

122 Elrosa Rd
Mooresville, NC 28115-5778

Phone

(704) 840-7005

Fax

(704) 360-2298

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1285770818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ELROSA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281155778",
            "telephone_number": "704-840-7005",
            "fax_number": "704-360-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ELROSA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281155778",
            "telephone_number": "704-840-7005",
            "fax_number": "704-360-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10150",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285770818",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin David Wellbaum, M.D.
• Nicole Sharon Wellbaum, MD
• Wellcomemd NC Clinic PLLC
• Wellness Psychiatry Group, P.C.
• Wellness Source, Inc.
• Douglas Lee Welsh
• Jenna Welsh
• Nicholas D Wentworth, DMD
• Tamara Bennett Wenzl, M.ED.
• Sarah Wessel, DPT

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.