Organization Active NPI

Wells Counseling, PLLC

  • Mental Health Counselor
  • Bloomingdale, IL
National Provider Identifier
1457028672
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLS COUNSELING, PLLC
Practice address
123 E Lake St
Bloomingdale, IL 60108-1177
Phone
(224) 255-5150
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Kristen Natasha Smith, LCSWNPI 1548762677
Title
Owner
Phone
(224) 255-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

123 E Lake St
Bloomingdale, IL 60108-1177

Mailing address

123 E Lake St Ste 203
Bloomingdale, IL 60108-1100
Phone (224) 255-5150

National Provider Directory

National Provider Directory

Locations

123 E Lake St
Ste 203
Bloomingdale, IL 60108
Phone (847) 946-4018

123 E Lake St
Bloomingdale, IL 60108
Phone (224) 255-5150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1457028672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST STE 203",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081100",
            "telephone_number": "224-255-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081177",
            "telephone_number": "224-255-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-255-5150",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.