Todd M Wells, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.163529 Issued in OH

Practice address

113 W Gambier St
Mount Vernon, OH 43050-2421

Phone

(740) 326-9099

Fax

(740) 326-9099

NPI assigned

Jun 19, 2019

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knox Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, OH
  • NPI 1245902576
  NPD Authorized official

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1609436880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502421",
            "telephone_number": "740-326-9099",
            "fax_number": "740-326-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502421",
            "telephone_number": "740-326-9099",
            "fax_number": "740-326-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.163529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne T. Mahar Jr. DDS Inc.
• Rachael Webster
• Larry L Weckesser, APRN
• Carlissa Weikle
• Graham Lindsay Welch, D.C.
• Christopher M Wendling
• Debra Werther, LCDCII
• Amy L Wertz, RN
• Lane Phoenix West, LPCC
• Shanna Westbrook

• Addiction (Substance Use Disorder) Counselor in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.