Active NPI
Susan Kay Wells, LPC, NCC, LMAC
- Mental Health Counselor
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3076
- Practice address
- 3105 W 135TH St
Leawood, KS 66224-7503 - Phone
- (913) 271-5083
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 406 | KS | |
| Mental Health Counselor | 101YM0800X | 3076 | KS | Primary |
Addresses
Primary practice location
3105 W 135TH St
Leawood, KS 66224-7503
Mailing address
9821 Foster St
Overland Park, KS 66212-2360
Phone (913) 271-5083
Other practice location 1
6331 W 110th St
Overland Park, KS 66211-1509
Phone (913) 696-1911 ext. 24445
Other practice location 2
6331 W 110th St
Overland Park, KS 66211-1509
Phone (913) 696-1911 ext. 24445
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 |
|---|---|---|---|
| 406 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 3076 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Kay Wells, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
3105 W 135th St
Leawood, KS 66224
Phone (913) 271-5083
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellspring Counseling
- Clinic/Center
- Overland Park, KS
- NPI 1801528013
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1659864916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9821 FOSTER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122360",
"telephone_number": "913-271-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 W 135TH ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662247503",
"telephone_number": "913-271-5083"
}
],
"practiceLocations": [
{
"address_1": "6331 W 110th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662111509",
"country_code": "US",
"telephone_number": "913-696-1911 x24445",
"fax_number": "913-696-1619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6331 W 110th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662111509",
"country_code": "US",
"telephone_number": "913-696-1911 x24445",
"fax_number": "913-696-1619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "SUSAN KAY",
"credential": "LPC, NCC, LMAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "406",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "3076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.