Gregory Wells Jr, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00120200 Issued in NJ

Practice address

61 N Maple Ave Ste 302
Ridgewood, NJ 07450-3232

Phone

(201) 956-9483

Fax

(201) 288-5262

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Recovery Center PC

  • Addiction (Substance Use Disorder) Psychologist
  • Ridgewood, NJ
  • NPI 1962071910
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1427725811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE STE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503232",
            "telephone_number": "201-956-9483",
            "fax_number": "201-288-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE STE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503232",
            "telephone_number": "201-956-9483",
            "fax_number": "201-288-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS JR",
        "first_name": "GREGORY",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00120200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "37LC00120200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Altman Weiss, PH.D.
• Ann Weissman, P.T.
• Lauren Kurpis Welch, D.D.S.
• Donna M Welhorsky, MSW, LSW
• Wellness U Professional Corporation
• Michael Wesson, M.D.
• West Bergen Mental Health Care
• West Bergen Mental Healthcare, Inc.
• West Bergen Mentalhealthcare, Inc
• West Ridgewood Dental Professionals

• Addiction (Substance Use Disorder) Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.