DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ODRIKUS DONJUAN WELLS

MEDICARE: ODRIKUS DONJUAN WELLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor04166KS
2171M00000XCase Manager/Care Coordinator
3101YM0800XMental Health Counselor11965OK

General Provider Information

NPI Number : 1649988239
Entity Type Code : Individual
Provider Name (Legal Business Name) : ODRIKUS DONJUAN WELLS
Provider Business Mailing Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 206-299-1262
Provider Business Practice Location Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 206-299-1262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 04/21/2026

Similar Medicare Providers

1780859165 — AMY MEEK FAMILY THERAPY GROUP LLC
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 316-680-8267
1760959159 — DAISY J DUNCAN-LITTLE LPC
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 206-299-1262
1922746833 — ASHLEY KEEFOVER LMFT-T
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 206-299-1262
1821866757 — ERIKA LEWIS LPC
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 206-299-1262
1881456945 — ANGELA MCGHEE LMSW
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 206-299-1262
1700628922 — MADISYN SHANEYFELT LPC, ATR-P
Practice Location Address:
1525 N BUCKNER ST
DERBY, KS
67037-2948
Practice Phone: 316-788-6464
Practice Fax: 206-299-1262

Directions to “ ODRIKUS DONJUAN WELLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.