Individual provider Active NPI

Matthew Wells, LMHCA, NCC

  • Mental Health Counselor
  • Valparaiso, IN
National Provider Identifier
1427542158
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000473A Issued in IN
Practice address
257 Indiana Ave Ste D6
Valparaiso, IN 46383-6180
Phone
(219) 299-0589
NPI assigned
Jun 16, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000473A IN Primary

Addresses

Primary practice location

257 Indiana Ave Ste D6
Valparaiso, IN 46383-6180

Mailing address

206 Morgan Blvd
Valparaiso, IN 46383-4852
Phone (317) 902-4684

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

LicenseStateTypeSpecialty
88000473AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Family Counseling LLC Mental Health PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1427542158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834852",
            "telephone_number": "317-902-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 INDIANA AVE STE D6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836180",
            "telephone_number": "219-299-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MATTHEW",
        "credential": "LMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000473A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.