Odrikus Donjuan Wells

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

04166 Issued in KS

Practice address

1525 N Buckner St
Derby, KS 67037-2948

Phone

(316) 788-6464

Fax

(206) 299-1262

NPI assigned

Nov 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy Meek Family Therapy Group LLC 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Amy Meek Family Therapy Group LLC

  • Marriage & Family Therapist
  • Derby, KS
  • NPI 1780859165

  KS

  Medicare reassignment Care Compare group NPD
• Therapy at Third, LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1780568907

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1649988239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372948",
            "telephone_number": "316-788-6464",
            "fax_number": "206-299-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372948",
            "telephone_number": "316-788-6464",
            "fax_number": "206-299-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741143300",
            "country_code": "US",
            "telephone_number": "918-388-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ODRIKUS",
        "middle_name": "DONJUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04166",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
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• Timothy L. Weide, P.A.
• Charles Shaya Weinstein, DPT
• Wesley Medical Center, LLC
• Brittany Rian West, PTA
• Westview of Derby Rehabilitation & Health Care Center, LLC
• Arthur White, LPC
• Wichita Birth Assistance

• All providers in Derby, KS
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.