Active NPI
Andrea Marie Wells, MS, LMFT
- Marriage & Family Therapist
- Camarillo, CA
National Provider Identifier
1558126722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42744
- Practice address
- 5751 Terra Bella CT
Camarillo, CA 93012-8817 - Phone
- (210) 347-6716
- NPI assigned
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42744 | CA | Primary |
Addresses
Primary practice location
5751 Terra Bella CT
Camarillo, CA 93012-8817
Mailing address
5751 Terra Bella CT
Camarillo, CA 93012-8817
Phone (210) 347-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42744 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1558126722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5751 TERRA BELLA CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128817",
"telephone_number": "210-347-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5751 TERRA BELLA CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128817",
"telephone_number": "210-347-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.