Active NPI
Taylor Wells, M.A., LPC, NCC
- Counselor
- Jackson, MI
National Provider Identifier
1598345217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451019424
- Practice address
- 1200 N. West Ave
Suite #300
Jackson, MI 49202 - Phone
- (517) 789-1234
- Fax
- (517) 784-7040
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451019424 | MI | Primary |
Addresses
Primary practice location
1200 N. West Ave
Suite #300
Jackson, MI 49202
Mailing address
1200 N. West Ave.
Suite #300
Jackson, MI 49202
Phone (517) 789-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451019424 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1598345217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N. WEST AVE.",
"address_2": "SUITE #300",
"city": "JACKSON",
"state": "MI",
"postal_code": "49202",
"telephone_number": "517-789-1234",
"fax_number": "517-784-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N. WEST AVE",
"address_2": "SUITE #300",
"city": "JACKSON",
"state": "MI",
"postal_code": "49202",
"telephone_number": "517-789-1234",
"fax_number": "517-784-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "TAYLOR",
"credential": "M.A., LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451019424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.