MR. DOUGLAS ROY WELLS


Address: 307 19th St Ste A3, Lewiston, ID 83501-2086
Phone: 2087462948

MR. DOUGLAS ROY WELLS (NPI# 1255465639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255465639
Entity Type Individual
Full Name MR. DOUGLAS ROY WELLS
Credential LCSW
Practice Address 307 19th St Ste A3
Lewiston
ID 83501-2086
Mailing Address 730 Warner Ave # B
Lewiston
ID 83501-4916
Practice Telephone 2087462948
Mailing Telephone 2087462948
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor CSW511 ID Behavioral Health & Social Service Providers

Other Providers DOUGLAS WELLS

NPI Name Taxonomy Address Enumeration
1548897564 Douglas Aaron Wells Jr. Student in an Organized Health Care Education/Training Program 1 Baylor Plz # Bcm320, Houston, TX 77030-3411 2020-03-27
1144512328 Douglas Dayne Wells Psychologist 2204 Kentucky Ave, Paducah, KY 42003-3242 2011-05-06
1932421963 Douglas Maurice Wells Pharmacist 11260 Pleasant Valley Rd, Pleasant Valley Pharmacy, Penn Valley, CA 95946-9413 2010-02-17

Office Location

Street Address 307 19TH ST STE A3
City LEWISTON
State ID
Zip Code 83501-2086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215569959 Victor R. Leclerc Counselor 95 Park St Ste 201, Lewiston, ME 04240-7282 2020-02-11
1932759404 Stephanie Le Anne Beidman Counselor 800 Main St # 11, Lewiston, ID 83501-1838 2019-09-17
1518088475 Clearwater Counseling Counselor 1020 Main, Lewiston, ID 83501 2007-04-02
1154955532 Jessica Lachance Counselor 1155 Lisbon St, Lewiston, ME 04240-5025 2020-02-25
1558843573 Ashley Lynn Simmons Counselor 156 East Ave, Lewiston, ME 04240-5626 2018-09-06
1346731791 Nora Mcelroy Counselor 1155 Lisbon St, Lewiston, ME 04240-5025 2018-05-22
1467962381 Lindsay Elizabeth Cormier Counselor 1155 Lisbon St, Lewiston, ME 04240-5025 2017-10-05
1558801670 Charlotte Labys Counselor 57 Birch St, 204, Lewiston, ME 04240-7415 2017-03-08
1508219957 Erica West Counselor 1155 Lisbon St, Lewiston, ME 04240-5025 2016-07-21
1891155792 Nathaniel P Clark Counselor 1155 Lisbon St, Lewiston, ME 04240-5025 2016-03-04
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Competitor

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City LEWISTON
Zip Code 83501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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