Bree Danielle Wells

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC7505 Issued in ID

Practice address

4489 N Dresden PL Ste 102
Garden City, ID 83714-5004

Phone

(208) 321-7360

Fax

(208) 906-0811

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1619488566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 N DRESDEN PL STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145004",
            "telephone_number": "208-321-7360",
            "fax_number": "208-906-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 N DRESDEN PL STE 102",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145004",
            "telephone_number": "208-321-7360",
            "fax_number": "208-906-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BREE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6680",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yomirra Al Tussa
• Unicare Health Services of Idaho L.L.C.
• Vitality Health
• Sara Walton, N.M.D.
• Alexander Welch
• Jennifer Weseman, LCPC
• Lindsay Merle Westerman, APRN, CPNP-AC/PC
• Elizabeth B Whitman, NP
• Kenneth Dale Widick, LMSW
• Donna Maxine Williams, LPC

• Professional Counselor in Garden City, ID
• Providers in Garden City, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.