Doug Wells, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72526 Issued in TX

Practice address

501 Pine Tree Rd # a-6
Longview, TX 75604-4000

Phone

(903) 201-4646

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Fit LLC

  • Community/Behavioral Health Agency
  • Longview, TX
  • NPI 1356704902
  NPD Authorized official

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1356704993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E LOOP 281 STE B101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055077",
            "telephone_number": "430-201-4646",
            "fax_number": "903-797-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PINE TREE RD # A-6",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044000",
            "telephone_number": "903-201-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DOUG",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Weekley, FNP-C
• Stanislav Weiner, MD
• Carol Elizabeth Welborn, SLP
• Laura J Welch, MD
• Shaan Noonan Novak Welch
• Wendell D. Daniels M.D., P.a.
• Sharon Elizabeth Werth, FNP
• Lisa Michelle Wertz, FNP-BC
• Ann Richelle Wessman
• Roxanna Jean West, LPC

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.