Kelly Colleen Wells

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1500 Petaluma Blvd S Ste a
Petaluma, CA 94952-5546

Phone

(707) 765-8488

NPI assigned

Jul 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501286400000",
    "number": "1538683743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 SUMNER LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055563",
            "telephone_number": "707-695-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PETALUMA BLVD S STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525546",
            "telephone_number": "707-765-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KELLY",
        "middle_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Robin Weiser, AMFT
• Kelsey Nichole Weiss
• Stephen A. Weiss, MD
• Danielle Welch
• Anne Marie Welensky, MCD CCC-SLP
• Vanessa Wells
• Morgan Michelle Wenell
• David Wentworth
• Druesella Ferber West, MFT
• Prebble Aliene West, LVN

• Counselor in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2017; 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.