JOHNNY WELLS
NPI 1548985906
Counselor - Mental Health in Omaha, NE

Active since October 07, 2022PECOS Enrolled
2126 N 117TH AVE, OMAHA, NE 68164(402) 934-1617 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 5, 2025, Oct 7, 2022 (2 updates tracked since 2022).

About Johnny Wells NPPES

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

JOHNNY WELLS (NPI 1548985906) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (13163) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548985906
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHNNY WELLS
Location Address2126 N 117TH AVEOmaha, NE 68164-3670
Mailing Address702 S 38th St Apt 12Omaha, NE 68105-1142 · (402) 525-3248
Sole ProprietorNo
Enumeration DateOctober 7, 2022
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1548985906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 13163
2126 N 117TH AVE, Omaha, NE 68164

Other Names 1

Former Name (1)Laura Beth Wells

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Wells is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnny Wells reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2126 N 117TH AVE
Omaha, NE 68164
  • Reassigned Medicare billing, Nebraska enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Psychologist (Counseling)
2126 N 117TH AVE
OMAHA, NE 68164
Massage Therapist
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Counselor (Mental Health)
2126 N 117TH AVE
OMAHA, NE 68164
Social Worker (Clinical)
2126 N 117TH AVE
OMAHA, NE 68164
Occupational Therapist
2126 N 117TH AVE
OMAHA, NE 68164

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 Johnny Wells's NPI number?

The NPI number for Johnny Wells is 1548985906. It was assigned to this individual provider in the NPPES registry on October 7, 2022. The provider is also known as Laura Beth Wells.

Where is Johnny Wells located?

Johnny Wells practices at 2126 N 117th Ave, Omaha, NE 68164. The listed phone number is (402) 934-1617.

What is Johnny Wells's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Johnny Wells enrolled in Medicare?

Yes. Johnny Wells is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnny Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Wells reassigns Medicare benefits to Omaha Integrative Care, LLC (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Wells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Wells was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.