WILLIE JOHNATHAN WELLS LPC
NPI 1952772410
Counselor - Professional in Southaven, MS
About Willie Johnathan Wells Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIE JOHNATHAN WELLS LPC (NPI 1952772410) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (1976) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Willie Johnathan Wells Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Willie Wells reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 60 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 54 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Willie Wells's NPI number?
The NPI number for Willie Wells is 1952772410. It was assigned to this individual provider in the NPPES registry on October 9, 2015.
Where is Willie Wells located?
Willie Wells practices at 6857 Cobblestone Blvd, Southaven, MS 38672. The listed phone number is (662) 253-8040.
What is Willie Wells's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Willie Wells enrolled in Medicare?
Yes. Willie 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 Willie Wells's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willie Wells reassigns Medicare benefits to 2 organizations: Right Track Medical Group, Inc (Oxford, MS) and Precise Clinical Neuroscience Specialists (Flowood, MS). 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 Willie Wells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willie Wells accept?
Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Willie 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.
When was this NPI record last updated?
The NPPES record for Willie Wells was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Willie Johnathan Wells, LPC · NPI 1952772410
Professional provider in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since October 9, 2015.
## Identity
- **NPI:** 1952772410 (Entity type: Individual)
- **Enumerated:** October 9, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1976 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6857 COBBLESTONE BLVD, Southaven, MS 38672-9312
- **Phone:** (662) 253-8040 · **Fax:** (662) 470-5984
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Right Track Medical Group, Inc (NPI 1972080257, Oxford, MS); Precise Clinical Neuroscience Specialists (NPI 1770717449, Flowood, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 3, 2019
- **Other identifiers:** Medicaid 04539260 (MS); Medicaid Q023618 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1952772410) · Data from the CMS NPPES public registry.