MRS. KATELYN JEANE WELLS MS, LPCC
NPI 1730669235
Counselor - Professional in Modesto, CA

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment
121 DOWNEY AVE, MODESTO, CA 95354(209) 341-1824 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2023, Aug 15, 2018 (2 updates tracked since 2018).

About Mrs. Katelyn Jeane Wells Ms, Lpcc NPPES

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

MRS. KATELYN JEANE WELLS MS, LPCC (NPI 1730669235) is an individual professional provider in Modesto, California, licensed in California (LPCC9531) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730669235
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATELYN JEANE WELLSCredential: MS, LPCC
Location Address121 DOWNEY AVEModesto, CA 95354-1208
Mailing Address430 N Pilgrim StStockton, CA 95205-4428 · (209) 466-0853
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2018
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1730669235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC9531
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC5175 (CA)
121 DOWNEY AVE, Modesto, CA 95354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katelyn Jeane Wells Ms, Lpcc 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 ID8123479227
PECOS Enrollment IDI20240112000850
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 Reassignments

2

Medicare enrollment records show Katelyn Wells reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
121 DOWNEY AVE
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 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.

Marriage & Family Therapist
121 DOWNEY AVE
MODESTO, CA 95354
Counselor (Professional)
121 DOWNEY AVE
MODESTO, CA 95354
Adult Companion
121 DOWNEY AVE
MODESTO, CA 95354
Social Worker (Clinical)
121 DOWNEY AVE
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354
Counselor (Professional)
121 DOWNEY AVE
MODESTO, CA 95354
Community/Behavioral Health
121 DOWNEY AVE
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354

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 Katelyn Wells's NPI number?

The NPI number for Katelyn Wells is 1730669235. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Katelyn Wells located?

Katelyn Wells practices at 121 Downey Ave, Modesto, CA 95354. The listed phone number is (209) 341-1824.

What is Katelyn Wells's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katelyn Wells enrolled in Medicare?

Yes. Katelyn 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.

Which organizations bill Medicare for Katelyn Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Wells reassigns Medicare benefits to 2 organizations: Telecare Corporation (Modesto, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Katelyn 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 Katelyn Wells was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.