Active NPI
Amie Daniella Wells, MHC-LP
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1881997476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P07740
- Practice address
- 315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842 - Phone
- (718) 497-6090
- Fax
- (718) 497-6262
- NPI assigned
- Dec 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P07740 | NY | Primary |
Addresses
Primary practice location
315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842
Mailing address
72 Crispus Attucks PL
Boston, MA 02119-1909
Phone (617) 606-2387
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P07740 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881997476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CRISPUS ATTUCKS PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021191909",
"telephone_number": "617-606-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WYCKOFF AVE STE 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375842",
"telephone_number": "718-497-6090",
"fax_number": "718-497-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "AMIE",
"middle_name": "DANIELLA",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P07740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- 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.