LIFESPRING, INC (NPI# 1851489942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851489942 |
| Entity Type | Organization |
| Organization Name | LIFESPRING, INC |
| Other Organization Name | SOUTHERN INDIANA MENTAL HEALTH AND GUIDANCE CENTER OF ECI |
| Practice Address |
460 Spring St Jeffersonville IN 47130 |
| Mailing Address |
460 Spring St Jeffersonville IN 47130-3452 |
| Practice Telephone | 8122802080 |
| Practice Fax Number | 8122061243 |
| Mailing Telephone | 8122802080 |
| Mailing Fax Number | 8122061243 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | SHIRLEY A ROLL (ENROLLMENT) |
| Authorized Official Telephone | 3174727396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | 402 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100425950 | 05 | |
| IN | 100074520 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Indiana Mental Health and Guidance Center of ECI | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1060 Sharon Dr, Jeffersonville, IN 471304522 | 8122806606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262994 | Lifespring, Inc | Clinic/Center | 818 Madison St, Rockport, IN 47635-1241 | 2018-10-26 |
| 1841335650 | Lifespring, Inc | Community/Behavioral Health | 460 Spring Street, Jeffersonville, IN 47130 | 2007-02-20 |
| 1811512239 | Lifespring, Inc | Clinic/Center | 2277 W Frontage Rd, Austin, IN 47102-8820 | 2020-06-11 |
| 1700435948 | Lifespring, Inc | Clinic/Center | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-09-10 |
| 1861957706 | Lifespring, Inc | Clinic/Center | 404 Spring St, Jeffersonville, IN 47130-3452 | 2019-02-05 |
| 1487121687 | Lifespring, Inc | Clinic/Center | 480 Eversman Dr, Jasper, IN 47546-3548 | 2018-10-26 |
| 1821565920 | Lifespring, Inc | Clinic/Center | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2018-10-26 |
| 1548737646 | Lifespring, Inc | Clinic/Center | 1443 9th St, Tell City, IN 47586-1407 | 2018-10-26 |
| 1104393206 | Lifespring, Inc | Clinic/Center | 523 N Main St, English, IN 47118-3699 | 2018-10-26 |
| 1982083564 | Lifespring, Inc | Clinic/Center | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2015-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIFESPRING, INC. | 475 Commonwealth Ave., Boston, MA 02215 |
| Street Address |
460 SPRING ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295889 | Kelli Christian | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-11-05 |
| 1457951824 | Breanna N Burton | Counselor | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-10-27 |
| 1407456601 | Joann Childress | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-10-27 |
| 1891393989 | Andrew Jacob Wagoner | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-10-12 |
| 1235747965 | Melissa Konijeti | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-07-20 |
| 1043858681 | Roshell Dione Davidson- Voegborlo | Case Manager/Care Coordinator | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-12-13 |
| 1225676927 | Erea Long | Counselor | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-12-13 |
| 1043861735 | Sara Bennett | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-09-24 |
| 1700435948 | Lifespring, Inc | Clinic/Center | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-09-10 |
| 1265088660 | Brittany Johnson | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662980 | Elizabeth Tully, Lcsw, LLC | Community/Behavioral Health | 590 Missouri Ave Ste 206c, Jeffersonville, IN 47130-3084 | 2019-01-10 |
| 1861850232 | Family Ark | Community/Behavioral Health | 101 Noah's Ln, Jeffersonville, IN 47130 | 2016-02-01 |
| 1821402843 | Jacquelyn Bainbridge | Community/Behavioral Health | 30 Portage Pl, Jeffersonville, IN 47130-5782 | 2014-06-18 |
| 1437448297 | Res-care, Inc. | Community/Behavioral Health | 6200 E Highway 62, Suite 675, Jeffersonville, IN 47130-8769 | 2011-04-01 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1841335650 | Lifespring, Inc | Community/Behavioral Health | 460 Spring Street, Jeffersonville, IN 47130 | 2007-02-20 |
| 1629533229 | Family and Childrens Place | Community/Behavioral Health | 100 W Court Ave, Jeffersonville, IN 47130-3502 | 2019-02-07 |
| 1063853620 | Family & Children's First, Inc | Community/Behavioral Health | 100 W Court Ave, Suite 102, Jeffersonville, IN 47130-3502 | 2013-07-11 |
| 1558502294 | River Edge Behavioral Health Center | Community/Behavioral Health | 109 E Main St, Jeffersonville, GA 31044-9426 | 2009-03-10 |
| 1194864843 | Wellstone Regional Hospital Acquisition LLC | Community/Behavioral Health | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5943 | 2007-02-06 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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| 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.