Active NPI
Lashandra Wells, M.ED
- Professional Counselor
- Lake Providence, LA
National Provider Identifier
1760852107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9722
- Practice address
- 1700 Lake St
Lake Providence, LA 71254-5208 - Phone
- (318) 559-0414
- NPI assigned
- Sep 28, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 3470 | MS | |
| Mental Health Counselor | 101YM0800X | LA | ||
| Professional Counselor | 101YP2500X | 9722 | LA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1700 Lake St
Lake Providence, LA 71254-5208
Mailing address
1700 Lake St
Lake Providence, LA 71254-5208
Phone (318) 559-0414
Other practice location 1
1705 Felicia Ave
Tallulah, LA 71282-8203
Phone (318) 574-1232
Other practice location 2
805 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-0098
Other practice location 3
1905 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 738-5820
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 |
|---|---|---|---|
| 9722 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Development Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tallulah, LA
- NPI 1538236328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1760852107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 LAKE ST",
"city": "LAKE PROVIDENCE",
"state": "LA",
"postal_code": "712545208",
"telephone_number": "318-559-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LAKE ST",
"city": "LAKE PROVIDENCE",
"state": "LA",
"postal_code": "712545208",
"telephone_number": "318-559-0414"
}
],
"practiceLocations": [
{
"address_1": "1705 Felicia Ave",
"address_purpose": "LOCATION",
"city": "Tallulah",
"state": "LA",
"postal_code": "712828203",
"country_code": "US",
"telephone_number": "318-574-1232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 N Beech St",
"address_purpose": "LOCATION",
"city": "Tallulah",
"state": "LA",
"postal_code": "712823809",
"country_code": "US",
"telephone_number": "318-574-0098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 Mission 66",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391803711",
"country_code": "US",
"telephone_number": "601-738-5820",
"fax_number": "601-738-5083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "LASHANDRA",
"name_prefix": "Mrs.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3470",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9722",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Providence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.