Individual provider Active NPI

Susan Kay Wells, LPC, NCC, LMAC

  • Mental Health Counselor
  • Leawood, KS
National Provider Identifier
1659864916
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3076 Issued in KS
Practice address
3105 W 135TH St
Leawood, KS 66224-7503
Phone
(913) 271-5083
NPI assigned
Jun 12, 2018
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
406KSMDAddiction (Substance Use Disorder) Counselor
3076KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Kay Wells, LLC Addiction (Substance Use Disorder) CurrentSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.