Active NPI
Julie Wells, M.S.
- Marriage & Family Therapist
- Eagle, ID
National Provider Identifier
1982014627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 79760
- Practice address
- 1521 N Lake Placid Ave
Eagle, ID 83616-5960 - Phone
- (949) 391-3505
- NPI assigned
- May 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 79760 | CA | Primary |
Addresses
Primary practice location
1521 N Lake Placid Ave
Eagle, ID 83616-5960
Mailing address
1521 N Lake Placid Ave
Eagle, ID 83616-5960
Phone (949) 391-3505
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79760 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1982014627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N LAKE PLACID AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165960",
"telephone_number": "949-391-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 N LAKE PLACID AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165960",
"telephone_number": "949-391-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JULIE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-03",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "79760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.