Individual provider Active NPI

Dennis Dale Wells, NCC, LPC, LPCS

  • Professional Counselor
  • Fountain Inn, SC
National Provider Identifier
1861711665
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5472 Issued in SC
Practice address
711 Fairview St
Fountain Inn, SC 29644-1541
Phone
(803) 318-5400
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5472 SC Primary

Addresses

Primary practice location

711 Fairview St
Fountain Inn, SC 29644-1541

Mailing address

711 Fairview St
Fountain Inn, SC 29644-1541
Phone (803) 318-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113003448 SC Practitioner - Mental Health Counselor 9638607021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 Fairview St
Fountain Inn, SC 29644-1541
Phone (803) 318-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Therapy Center, LLC Professional CurrentSince Jan 2, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

711 Fairview St
Fountain Inn, SC 29644
Phone (803) 318-5400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1861711665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 FAIRVIEW ST",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441541",
            "telephone_number": "803-318-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 FAIRVIEW ST",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441541",
            "telephone_number": "803-318-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DENNIS",
        "middle_name": "DALE",
        "credential": "NCC, LPC, LPCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

Verify at the official NPI Registry.