Individual provider Active NPI

Anna Marissa Wells

  • Professional Counselor
  • Greenbrier, AR
National Provider Identifier
1437696168
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1811145 Issued in AR
Practice address
8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200
Phone
(501) 557-6785
Fax
(501) 613-0411
NPI assigned
Jan 19, 2017
Last updated
Dec 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1811145 AR Primary

Addresses

Primary practice location

8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200

Mailing address

8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200
Phone (501) 557-6785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002247 AR Practitioner - Mental Health Counselor 0345677019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Greenbrier, AR 72058
Phone (501) 402-0776

1090 Spencer St
Conway, AR 72032-4474
Phone (501) 402-0776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1811145ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Consulting Services LLC Professional CurrentSince May 4, 2025 Accepting new patients
Salt Counseling and Consultation, Inc. PastSince May 29, 2018 Accepting new patients

Organizations & group practices 2

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1437696168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785",
            "fax_number": "501-613-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785",
            "fax_number": "501-613-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANNA",
        "middle_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1811145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

Verify at the official NPI Registry.