Thandi Kenyetta Wells, ED.S, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3472 Issued in AL

Practice address

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1302

Phone

(205) 919-3974

Fax

(877) 308-8259

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801319892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100A SOUTHBRIDGE PKWY STE 235",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091375",
            "telephone_number": "205-919-3974",
            "fax_number": "877-308-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-919-3974",
            "fax_number": "877-308-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "THANDI",
        "middle_name": "KENYETTA",
        "name_prefix": "Mrs.",
        "credential": "ED.S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R. Wells III, M.D.
• Gretchen Wells
• Jacob Taylor Wells
• James Wells
• James Charles Jerome Wells, ED.S,NCC,LPC-S,CSAT
• Traci Wells, APRN
• Valencia Robertson Wells, O.D.
• Wilbur Glen Wells Jr., MD
• Wellspot Medical Clinics
• Wellspot, Inc

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

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