Rae Ann Well, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61296147 Issued in WA

Practice address

3430 E Highway 101 Ste 3
Port Angeles, WA 98362-9069

Phone

(360) 452-4062

NPI assigned

Feb 6, 2019

Last updated

Nov 8, 2022By the provider in NPPES

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

State licenses

Practice roles

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.

• Reflections Counseling Services Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port Angeles, WA
  • NPI 1740569664
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1598220287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E HIGHWAY 101 STE 3",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629069",
            "telephone_number": "360-452-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E HIGHWAY 101 STE 3",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629069",
            "telephone_number": "360-452-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELL",
        "first_name": "RAE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61296147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey C Weller, M.D.
• Katrina C Weller, MD
• Cynthia West, DO
• Cindy Michele Westmoreland, CDPT
• Melissa Weston

• Addiction (Substance Use Disorder) Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

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