Annette Marie Wells, L.A.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3423 Issued in MT

Practice address

807 North Piegan Street
Browning, MT 59417

Phone

(406) 338-6330

NPI assigned

Aug 30, 2019

Last updated

Mar 13, 2024By 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

Other identifiers 1

Electronic endpoints 1

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.

• Crystal Creek Lodge

  • Substance Abuse Rehabilitation Facility
  • Browning, MT
  • NPI 1285854885
  NPD

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1639727829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HOSPITAL CIRCLE",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 NORTH PIEGAN STREET",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "3423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285854885",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystalcreek@Blackfeetnation.com",
            "affiliation": "Y",
            "affiliationName": "CRYSTAL CREEK LODGE",
            "address_1": "807 Piegan Street",
            "city": "Browning",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dustin R Walter, REGISTERED NURSE
• Susan Walter, RN
• Roger Dean Wayman, D.D.S.
• Marie R. Weasel, RN
• George Stewart Webber Jr., P.T.
• Kayla Marie White, LAC
• Margaret C Whitegrass, RN
• Mary K Wilborn, RN
• Helen Woo
• Wynona Ann Woolf, RD, MPH

• Addiction (Substance Use Disorder) Counselor in Browning, MT
• Providers in Browning, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.