Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Willie Johnathan Wells, LPC

Individual provider Professional Counselor · NPI 1952772410

Willie Johnathan Wells, LPC is a Mental Health Counselor in Southaven, Mississippi. Qualified in 2013, 13 years ago. Practices with Right Track Medical Group, Inc, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6857 Cobblestone Blvd
Southaven, MS 38672-9312
Phone: (662) 253-8040
Fax: (662) 470-5984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1976 (MS)

Record details

NPI number1952772410
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 9, 2015
Last updated in NPPESJune 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Right Track Medical Group, Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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