Andrea J Wells, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT 33997 Issued in CA

Practice address

740 Front St Ste 340
Santa Cruz, CA 95060-4561

Phone

(831) 425-3369

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487857066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950610365",
            "telephone_number": "831-425-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST STE 340",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604561",
            "telephone_number": "831-425-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT 33997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHCI GROUP PROVIDER #",
            "identifier": "1942372123",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellbound of Santa Cruz, LLC
• Dana M Welle, D.O.
• Thomas J Welle, D.O.
• Janet Borello Wellersdick, MFT
• Wellness Chiropractic Health Center
• Frederick Fritz Wells
• Joshua Weltchek, D.C.
• Megan Elizabeth Wemm, L. AC.
• Rebecca Rachael Wendler, L.AC.
• Christopher John Wesselman, M.D

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.