Active NPI
Lurline Wells, MFT-I
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1316242985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI0765
- Practice address
- 2820 W Charleston Blvd
#23
Las Vegas, NV 89102-1942 - Phone
- (702) 437-4673
- Fax
- (702) 438-4673
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01255-L | NV | |
| Marriage & Family Therapist | 106H00000X | MI0765 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd
#23
Las Vegas, NV 89102-1942
Mailing address
2820 W Charleston Blvd
#23
Las Vegas, NV 89102-1942
Phone (702) 437-4673
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01255-L | Other | NV | LICENSED ALCOHOL AND DRUG COUNSELOR |
| MI0222 | Other | NV | MARRIAGE AND FAMILY INTERN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01255-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| MI0765 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1316242985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "#23",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021942",
"telephone_number": "702-437-4673",
"fax_number": "702-438-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "#23",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021942",
"telephone_number": "702-437-4673",
"fax_number": "702-438-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "LURLINE",
"name_prefix": "Mrs.",
"credential": "MFT-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01255-L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ALCOHOL AND DRUG COUNSELOR",
"identifier": "01255-L",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY INTERN",
"identifier": "MI0222",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.