KELLY COLLEEN WELLS (NPI# 1538683743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538683743 |
| Entity Type | Individual |
| Full Name | KELLY COLLEEN WELLS |
| Practice Address |
1500 Petaluma Blvd S Ste A Petaluma CA 94952-5546 |
| Mailing Address |
3959 Sumner Ln Santa Rosa CA 95405-5563 |
| Practice Telephone | 7077658488 |
| Mailing Telephone | 7076957801 |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2017-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123812 | Kelly Wells | Counselor | 906 12th St Nw, Canton, OH 44703-1902 | 2020-01-07 |
| 1801182696 | Kelly S. Wells | Dentist | 6211 4th St Nw, Suite 13, Albuquerque, NM 87107-5761 | 2011-06-21 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1962564211 | Kelly J Wells | Chiropractor | 54b Rolling Oaks Rd, Sugar Grove, IL 60554-9337 | 2006-12-14 |
| 1669082376 | Kelly V Wells | Physical Therapist | 2703 Legends Pkwy, Prattville, AL 36066-7755 | 2020-08-06 |
| 1407494693 | Kelly Wells | Nurse Practitioner | 220 N Main St, Greenville, SC 29601-2161 | 2019-12-18 |
| 1710435953 | Kelly Wells | Social Worker | 7474 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3523 | 2016-09-16 |
| 1336591197 | Kelly Irene Wells | Nurse Practitioner | 870 S Front St, Suite 200, Central Point, OR 97502-2779 | 2016-07-05 |
| 1992108021 | Kelly Wells | Contractor | 211 2nd St, Moscow, OH 45153-0066 | 2014-10-03 |
| 1841451630 | Kelly Forster Wells | Counselor | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2008-06-24 |
| Street Address |
1500 PETALUMA BLVD S STE A |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750426482 | Susan Gilley Zalkaske | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2007-02-20 |
| 1215413703 | Kevin Krage Viljoen | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2018-07-17 |
| 1912299801 | Tiffany Vigil | Marriage & Family Therapist | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2011-05-10 |
| 1609009877 | Patricia J. Bullock | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952 | 2009-09-03 |
| 1023153731 | Thomas Alan Robbe | Marriage & Family Therapist | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146658 | Wavelengths Recovery | Counselor | 6 Petaluma Blvd N Ste A7, Petaluma, CA 94952-3027 | 2020-05-19 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1831579267 | Debbie Ann Dominquez-wiggins | Counselor | 1296 Lohrman Ln, Petaluma, CA 94952-1650 | 2015-06-01 |
| 1881001915 | Kellianne Janae Martinez | Counselor | 512 Teton Ct, Petaluma, CA 94954-6641 | 2014-07-21 |
| 1245647353 | Jessie 'lori' Deans | Counselor | 330 Jewett Rd, Petaluma, CA 94952-1030 | 2014-07-21 |
| 1013324144 | Kati Smith | Counselor | 3539 Skillman Ln, Petaluma, CA 94952-1208 | 2014-07-21 |
| 1376964668 | Anita Lafollette | Counselor | 35 Maria Dr Ste 863, Petaluma, CA 94954-3548 | 2014-01-03 |
| 1558798157 | Scott Songer | Counselor | 3478 Bodega Ave, Petaluma, CA 94952-1604 | 2013-09-27 |
| 1891925335 | Dolan Samuel Beaird | Counselor | 2037 Willow Dr, Petaluma, CA 94954-3842 | 2009-07-17 |
| 1568617280 | Robert Ray Abbott-florez | Counselor | 915 Liberty Rd, Petaluma, CA 94952-8141 | 2008-11-21 |
| Find all providers in PETALUMA | ||||
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| 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.