Active NPI
Rachel Wells, LCPC-C, MT-BC
- Mental Health Counselor
- Kennebunk, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- XL4818
- Practice address
- 2 Storer St Ste 403B
Kennebunk, ME 04043-6885 - Phone
- (207) 370-7376
- NPI assigned
- Jun 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | XL4818 | ME | Primary |
Addresses
Primary practice location
2 Storer St Ste 403B
Kennebunk, ME 04043-6885
Mailing address
62 Portland Rd Ste 50
Kennebunk, ME 04043-6650
Phone (207) 370-7376
Other practice location 1
62 Portland Rd Ste 50
Kennebunk, ME 04043-6650
Phone (207) 370-7376
Other practice location 2
1 Fenn St
Adminstrative Offices
Pittsfield, MA 01201-6278
Phone (413) 629-1251
Other practice location 3
2 Christensen Ln
Kennebunk, ME 04043-7759
Phone (207) 370-7376
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL4818 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headwaters Wellness, LLC | Mental Health | Current | Accepting new patients |
Locations
2 Storer St
Ste 403B
Kennebunk, ME 04043
Phone (207) 370-7376
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Kennebunk, ME
- NPI 1801728886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1629399688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 PORTLAND RD STE 50",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436650",
"telephone_number": "207-370-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STORER ST STE 403B",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436885",
"telephone_number": "207-370-7376"
}
],
"practiceLocations": [
{
"address_1": "62 Portland Rd Ste 50",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040436650",
"country_code": "US",
"telephone_number": "207-370-7376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Fenn St",
"address_2": "ADMINSTRATIVE OFFICES",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "MA",
"postal_code": "012016278",
"country_code": "US",
"telephone_number": "413-629-1251",
"fax_number": "413-448-2198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Christensen Ln",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040437759",
"country_code": "US",
"telephone_number": "207-370-7376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "RACHEL",
"credential": "LCPC-C, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.