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KENNETH STEPHEN WELLS
NPI 1053176172
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since February 19, 2024
1712 6TH AVE, TACOMA, WA 98405(253) 473-7586 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Stephen Wells NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH STEPHEN WELLS (NPI 1053176172) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CO60415317) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1053176172
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH STEPHEN WELLS
Location Address1712 6TH AVETacoma, WA 98405-3300
Mailing Address1712 6th AveTacoma, WA 98405-3300 · (253) 473-7586
Phone(253) 473-7586
Sole ProprietorNo
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1053176172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO60415317
1712 6TH AVE, Tacoma, WA 98405
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN CULLEN
Counselor (Addiction (Substance Use Disorder))
1712 6TH AVE
TACOMA, WA 98405
Pierce County (253) 473-7586
ERICA CHERISE GOODE CRNP FNP-BC
Nurse Practitioner (Family)
1712 6TH AVE, SUITE 100 - 1243
TACOMA, WA 98405
Pierce County (877) 773-0158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wells's NPI number?

The NPI number for Kenneth Wells is 1053176172. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Kenneth Wells located?

Kenneth Wells practices at 1712 6th Ave, Tacoma, WA 98405. The listed phone number is (253) 473-7586.

What is Kenneth Wells's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Wells was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.