WELLSPRING (NPI# 1003851411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003851411 |
| Entity Type | Organization |
| Organization Name | WELLSPRING |
| Other Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
15 E Pleasant St Springfield OH 45506-2201 |
| Practice Telephone | 9373251177 |
| Practice Fax Number | 9373258727 |
| Mailing Telephone | 9373251177 |
| Mailing Fax Number | 9373258727 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | NAOMI WALTERS (OFFICE MANAGER) |
| Authorized Official Telephone | 9373255564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0284 | OH | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0284 | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0284 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 10501 | 05 |
| Other Name | Type Code |
|---|---|
| Family Service Agency | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558767970 | Wellspring | Psychiatric Residential Treatment Facility | 5618 Nw 43rd Street, Gainesville, FL 32653 | 2014-11-12 |
| 1619188794 | Wellspring | Counselor | 1335 Dublin Rd., Suite 208d, Columbus, OH 43214 | 2007-05-24 |
| 1558765016 | Wellspring | Counselor | 5618 Nw 43rd St, Gainesville, FL 32653-3406 | 2014-10-13 |
| 1912262619 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2012-07-09 |
| 1912046202 | Wellspring | Clinic/Center | 2034 Se 6th Ave, Portland, OR 97214-4510 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSPRING | 2181 Vista Entrada, Newport Beach, CA 92660-3937 |
| Colorado Business Entities | WELLSPRING | 3208 68th Ave Ct, Suite 203, Greeley, CO 80634 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 1, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 2, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Washington State Corporations | WELLSPRING 294 LLC | 527 Covered Bridge Rd, Grays River, WA 98621-9716 |
| Colorado Business Entities | WellSpring 360 of Colorado, LLC | 5750 South Cherry Circle, Greenwood Village, CO 80121 |
| Washington State Corporations | WELLSPRING AFH CORP | 26016 116th Ave Se, Kent, WA 98030-8480 |
| Oregon Corporations, Companies and Business Names | WELLSPRING AIKIDO | 1205 Se Harvey Dr, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | WELLSPRING ANIMAL ACUPRESSURE, LLC | Wellspring Farm, 28380 Nw Dorland Rd, North Plains, OR 97133 |
| New York State Corporations | WELLSPRING APPAREL LLC | 153 Bennett Ave Apt 1h, New York, Ny 10040 |
| Street Address |
15 E PLEASANT ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45506-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779818 | Nicole Clem | Social Worker | 15 E Pleasant St, Springfield, OH 45506-2201 | 2020-01-23 |
| 1922581388 | Laura Ann Lippencott | Social Worker | 15 E Pleasant St, Springfield, OH 45506-2201 | 2018-09-12 |
| 1023532009 | Barbara Ofzky | Social Worker | 15 E Pleasant St, Springfield, OH 45506-2201 | 2017-08-01 |
| 1083144612 | Susan Sassenberg | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2017-06-15 |
| 1881130904 | Carla Tamplin | Social Worker | 15 E Pleasant St, Springfield, OH 45506-2201 | 2017-01-12 |
| 1801284146 | Jenny Oliver | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2015-01-08 |
| 1396148557 | Lisa Lopez-freeman | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2014-10-02 |
| 1558707539 | John Wesley Wilson | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2013-05-16 |
| 1912262619 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2012-07-09 |
| 1669709218 | Louise Smith | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2009-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496520 | Rachel Anne Legg | Counselor | 15 E. Pleasant St., Springfield, OH 45506 | 2018-08-07 |
| 1144748559 | Bethany Canestraro | Speech-Language Pathologist | 431 W John St., Springfield, OH 45506 | 2017-09-06 |
| 1245782952 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 825 W Leffel Lane, Springfield, OH 45506 | 2016-10-28 |
| 1831640994 | Terri L. Muha | Speech-Language Pathologist | 631 S Yellow Springs Street, Springfield, OH 45506 | 2016-10-24 |
| 1659775633 | Deborah Brennan Chapman | Speech-Language Pathologist | 25 W. Pleasant St., Springfield, OH 45506 | 2014-10-20 |
| 1700133840 | Lemarcel M Robinson | Dentist | 233 W. Pleasant St., Springfield, OH 45506 | 2012-08-08 |
| 1770551830 | Michele Rene Noffke | Licensed Practical Nurse | 1311 W Jefferson St, Springfield, OH 45506-1219 | 2006-03-14 |
| 1346269628 | Michelle M Duncan | Speech-Language Pathologist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2006-07-18 |
| 1932756533 | Jennifer Marie Griffith | Occupational Therapist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2019-08-20 |
| 1568019214 | Kourtney Stranzin | Speech-Language Pathologist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2019-08-19 |
| Find all providers in zip 45506 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
| 1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
| 1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
| 1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
| 1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45506 |
Please comment or provide details below to improve the information on WELLSPRING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.