MARY J. WELLS PHD LCP
NPI 1568568376
Psychologist - Clinical in Henrico, VA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
11958 W BROAD ST, HENRICO, VA 23233(804) 360-4669(804) 364-6521 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J. Wells Phd Lcp NPPES

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

MARY J. WELLS PHD LCP (NPI 1568568376) is an individual clinical provider in Henrico, Virginia, licensed in Virginia (0810001817) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1568568376
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY J. WELLSCredential: PHD LCP
Location Address11958 W BROAD STHenrico, VA 23233
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 364-6521
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMay 25, 2018
NPI 1568568376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VA · 0810001817
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11958 W BROAD ST, Henrico, VA 23233

Other Identifiers 10

Other191723VA · Healthkeepers
Other356101VA · Phcs
Other381756VA · Anthem
Other190033VA · Compsych
Other341259VA · Ubh
Other082546VA · Sentara Behavioral
Other198317000VA · Magellan
Other31705VA · Value Options
Other611681VA · Optimum Choice
Other4529892VA · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary J. Wells Phd Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971678624
PECOS Enrollment IDI20080815000070
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
87 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Neuromuscular Medicine)
11958 W BROAD ST
RICHMOND, VA 23233
Physical Medicine & Rehabilitation
11958 W BROAD ST
HENRICO, VA 23233
Physical Medicine & Rehabilitation
11958 W BROAD ST
HENRICO, VA 23233
Psychiatry & Neurology (Neurology)
11958 W BROAD ST
HENRICO, VA 23233
Nurse Practitioner
11958 W BROAD ST
HENRICO, VA 23233
Anesthesiology (Pain Medicine)
11958 W BROAD ST
HENRICO, VA 23233
Psychiatry & Neurology (Neurology)
11958 W BROAD ST
RICHMOND, VA 23233
Psychiatry & Neurology (Neurology)
11958 W BROAD ST
HENRICO, VA 23233

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 Mary Wells's NPI number?

The NPI number for Mary Wells is 1568568376. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Mary Wells located?

Mary Wells practices at 11958 W Broad St, Henrico, VA 23233. The listed phone number is (804) 360-4669.

What is Mary Wells's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Wells enrolled in Medicare?

Yes. Mary Wells is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Wells accept?

Health plans from Providence Health Plan list Mary Wells as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Wells affiliated with any hospitals?

According to CMS data, Mary Wells is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Mary Wells was last updated on May 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.