Organization Active NPI

Wells Mental Health Services LLC

  • Mental Health Counselor
  • Kailua, HI
National Provider Identifier
1679907075
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC - 263 Issued in HI
Legal business name
WELLS MENTAL HEALTH SERVICES LLC
Practice address
40 Aulike St
Suit 411
Kailua, HI 96734-2758
Phone
(808) 222-3588
Fax
(808) 262-2747
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mr. Forrest Alden Kaiao Wells, MSCP, NCC, LMHC
Title
Ceo
Phone
(808) 222-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHC - 263 HI Primary

Addresses

Primary practice location

40 Aulike St
Suit 411
Kailua, HI 96734-2758

Mailing address

40 Aulike St
Suite 411
Kailua, HI 96734-2758
Phone (808) 222-3588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1679907075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-222-3588",
            "fax_number": "808-262-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUIT 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-222-3588",
            "fax_number": "808-262-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "ALDEN KAIAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-222-3588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSCP, NCC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC - 263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.