Samantha Wells

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337

Phone

(217) 531-2360

Fax

(217) 352-2635

NPI assigned

Dec 4, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cunningham Children'S Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1871047209
  NPD (past)
• Cunningham Children'S Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rantoul, IL
  • NPI 1871378976
  NPD (past)

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1366100562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E FLORIDA AVE APT 23B",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618016062",
            "telephone_number": "217-840-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE B16-18",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-531-2360",
            "fax_number": "217-352-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Weiss, LCSW
• Dylan Welch, NP
• Janet W Welch, M.D.
• Jerome W. Wellinghoff, C.R.N.A.
• Kasey Renay Wells
• Tian Wells, PHARM.D
• Madisyn Welsh
• Carolyn A Welter, MSW
• Pamela Sue Wendt, LCPC
• Jan Elaine Wenke, MSN, MA, PRN, LATC

• Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.