Active NPI
Courtney Dawn Wells, M.ED. LPC
- Professional Counselor
- Throckmorton, TX
National Provider Identifier
1740567114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65806
- Practice address
- 802 N Minter Ave
Throckmorton, TX 76483-5357 - Phone
- (948) 849-2151
- NPI assigned
- Nov 13, 2011
- Last updated
- Nov 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65806 | TX | Primary |
Addresses
Primary practice location
802 N Minter Ave
Throckmorton, TX 76483-5357
Mailing address
PO Box 401
Throckmorton, TX 76483-0401
Phone (210) 416-4919
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65806 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321142400000",
"number": "1740567114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "THROCKMORTON",
"state": "TX",
"postal_code": "764830401",
"telephone_number": "210-416-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N MINTER AVE",
"city": "THROCKMORTON",
"state": "TX",
"postal_code": "764835357",
"telephone_number": "948-849-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "COURTNEY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "M.ED. LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2011-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Throckmorton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.