Organization Active NPI

Wells and Associates Wellness Center

  • Nurse Massage Therapist (NMT)
  • Sycamore, IL
National Provider Identifier
1780739839
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
Legal business name
WELLS AND ASSOCIATES WELLNESS CENTER
Practice address
407 W State St
Suite 1a
Sycamore, IL 60178-1455
Phone
(815) 895-1044
Fax
(815) 895-1054
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary B. Wells, RN, MSN, LMT, CLT
Title
Owner
Phone
(815) 895-1044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X IL
Nurse Massage Therapist (NMT)Group: 193200000X MULTI-SPECIALTY GROUP 163WM1400X IL
Nurse Massage Therapist (NMT)Group: 193200000X MULTI-SPECIALTY GROUP 163WM1400X IL Primary

Addresses

Primary practice location

407 W State St
Suite 1a
Sycamore, IL 60178-1455

Mailing address

407 W State St
Suite 1a
Sycamore, IL 60178-1455
Phone (815) 895-1044

National Provider Directory

National Provider Directory

Locations

407 W State St
Ste 1A
Sycamore, IL 60178
Phone (815) 895-1044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780739839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W STATE ST",
            "address_2": "SUITE 1A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781455",
            "telephone_number": "815-895-1044",
            "fax_number": "815-895-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W STATE ST",
            "address_2": "SUITE 1A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781455",
            "telephone_number": "815-895-1044",
            "fax_number": "815-895-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS AND ASSOCIATES WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-895-1044",
        "authorized_official_credential": "RN, MSN, LMT, CLT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.