MR. KENNETH P WELLS (NPI# 1164727798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164727798 |
| Entity Type | Individual |
| Full Name | MR. KENNETH P WELLS |
| Credential | LPC |
| Practice Address |
1589 Steeple Dr Suffolk VA 23433-1615 |
| Practice Telephone | 7573719042 |
| Practice Fax Number | 7572387765 |
| Mailing Telephone | 7573719042 |
| Mailing Fax Number | 7572387765 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004310 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023161080 | Kenneth Beckett Wells | Counselor | 15627 E Centipede Dr, Fountain Hills, AZ 85268-1530 | 2007-01-20 |
| 1346335551 | Kenneth Douglas Wells | Preventive Medicine | !001 Louisiana, Suite 1047, Houston, TX 77021 | 2006-10-04 |
| 1467437624 | Kenneth Wells | Podiatrist | 286 Euclid Ave, Suite 204, San Diego, CA 92114-3610 | 2005-12-10 |
| 1992989974 | Kenneth Ray Wells | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-26 |
| 1659550051 | Kenneth Alan Wells | Massage Therapist | 14780 Sw Osprey Dr, Suite 350, Beaverton, OR 97007-8028 | 2007-11-01 |
| 1720090657 | Kenneth Wells | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-08-12 |
| 1770593618 | Kenneth Wayne Wells | Psychiatry & Neurology | 943 N Church St, Psychiatric Associates of Spartanburg, Spartanburg, SC 29303-2712 | 2006-08-09 |
| 1629097506 | Kenneth Wells | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2006-07-19 |
| 1891722831 | Kenneth Lewis Wells | Specialist/Technologist | 1500 Oglethorpe Ave, Suite 500b, Athens, GA 30606-2179 | 2006-06-26 |
| 1407819774 | Kenneth Lee Wells | Physical Therapist | 865 W Lake Dr, Dba Edwin H. Martinat Rehabilitation Center, Mount Airy, NC 27030-2157 | 2006-04-08 |
| Street Address |
1589 STEEPLE DR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23433-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790126241 | Nabeel Hashem Ismaeil | Internal Medicine | 1 King Faisal Specialist Hospital and Research Center, Al Rawdah, Jeddah, MAKKAH 23433 | 2013-07-12 |
| 1811366016 | Debbie Ebel | Physical Therapist | 1501 Woodspath Ln, Suffolk, VA 23433-1209 | 2015-09-17 |
| 1831536796 | James C.p. Collier Jr. | General Practice | 1505 Woodspath Ln, Suffolk, VA 23433-1209 | 2013-05-31 |
| 1841377108 | William Simonson | Pharmacist | 9202 Wigneil St, Suffolk, VA 23433-1529 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547516 | Thrive Behavioral Consulting, LLC | Behavioral Analyst | 204 Reservoir Ln, Suffolk, VA 23434-4456 | 2020-10-27 |
| 1124627070 | Home & Heart LLC | Custodial Care Facility | 317 Bullock St, Suffolk, VA 23434-3109 | 2020-10-21 |
| 1275132235 | Tidewater Lung and Sleep Center, Pllc | Internal Medicine | 4113 River Park Dr, Suffolk, VA 23435-3358 | 2020-10-21 |
| 1700493822 | Albert Herdeg | Technician | 319 Wood Duck Ct, Suffolk, VA 23434-8096 | 2020-09-24 |
| 1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
| 1811503899 | Lakeshia Bradley | Counselor | 302 Bank St, Suffolk, VA 23434-4524 | 2020-09-16 |
| 1912512799 | Jessica Eve Taylor | Nurse Practitioner | 1013 University Blvd Ste 270, Suffolk, VA 23435-3900 | 2020-09-09 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1992318265 | Advance Home Health Care LLC | Home Health | 112 W Washington St Ste 505, Suffolk, VA 23434-5246 | 2020-08-26 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| Find all providers in SUFFOLK | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868575 | Bridget Seely | Counselor | 707 Gittings St Ste 120, Suffolk, VA 23434-6101 | 2019-05-29 |
| 1942864970 | Gabrielle B Gomoke | Counselor | 7025 Harbor View Blvd Ste 119, Suffolk, VA 23435-2762 | 2019-04-25 |
| 1629542352 | Chiquita Monique Merrill | Counselor | 7025 Harbour View Blvd, Suffolk, VA 23435-2761 | 2019-01-16 |
| 1073021234 | Keisha Arnold | Counselor | 3897 Bridge Rd, Suffolk, VA 23435-1911 | 2018-01-22 |
| 1548786692 | Suffolk Psychotherapy, Inc. | Counselor | 425 W Washington St Ste 4, Suffolk, VA 23434-5320 | 2017-08-21 |
| 1194136309 | Rebecca Jo Hodges | Counselor | 3327 Nansemond River Dr, Suffolk, VA 23435-1057 | 2014-05-12 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| 1679662571 | Sharon Wilson Krumpe | Counselor | 6072 Godwin Blvd, Pob 2387, Suffolk, VA 23432-1012 | 2006-10-11 |
| 1679549729 | Therapeno Counseling and Congregational Wellness Svs, LLC | Counselor | 1028 Snead Dr, Suffolk, VA 23434 | 2006-02-28 |
| 1386257004 | Tonya D Gardner | Counselor | 7025 Harbour View Blvd, Suffolk, VA 23435-2761 | 2020-08-24 |
| Find all providers in SUFFOLK | ||||
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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.