Kevin W Wells, MA, CACI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12053115 Issued in SC

Practice address

187 W Broad St
Spartanburg, SC 29306-3234

Phone

(864) 582-7588

Fax

(864) 582-0431

NPI assigned

Aug 21, 2007

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1891988192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-582-7588",
            "fax_number": "864-582-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-582-7588",
            "fax_number": "864-582-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KEVIN",
        "middle_name": "W",
        "credential": "MA, CACI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "12053115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190166",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA, CACI",
            "identifier": "12053115",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard M Weir, MD
• Elizabeth Leanne Welling, PA-C
• Wellness Family Medicine
• Kelly Wells, NP
• Kenneth Wayne Wells, M.D.
• Sherian Wells
• Wellspring Family Dental, PA
• Jennifer Welsh
• Christopher Bryan Werner
• Thomas Jacob Wessel Jr., MD

• Addiction (Substance Use Disorder) Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.