Wellspring

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0284 Issued in OH

Legal business name

WELLSPRING

Practice address

101 N Fountain Ave
Springfield, OH 45502-1118

Phone

(937) 325-5564

Fax

(937) 325-5564

NPI assigned

Jun 19, 2006

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Nelson

Title

Office Manager

Phone

(937) 325-5564

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Family Service Agency Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey L Stute, LISW-S

  • Social Worker
  • Springfield, OH
  • NPI 1447372602
  Medicare reassignment NPD
• Zoe Alison Burch, MA

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, OH
  • NPI 1073706602
  NPD (past)
• Nicole Clem

  • Clinical Social Worker
  • Springfield, OH
  • NPI 1336779818
  NPD (past)
• Lisa Freeman, LPCC

  • Counselor
  • Dayton, OH
  • NPI 1396148557
  NPD (past)
• Rachel Anne Legg, CT

  • Mental Health Counselor
  • Springfield, OH
  • NPI 1013496520
  NPD (past)
• Laura Ann Lippencott, LSW

  • Social Worker
  • Springfield, OH
  • NPI 1922581388
  NPD (past)
• Barbara A Ofzky, MSW, LSW

  • Social Worker
  • Springfield, OH
  • NPI 1023532009
  NPD (past)
• James Okolica, MSW, LSW

  • Social Worker
  • Dayton, OH
  • NPI 1154037455
  NPD (past)
• Jenny L Oliver, LPCC

  • Professional Counselor
  • Springfield, OH
  • NPI 1801284146
  NPD (past)
• Bonnie R Parish, LISW-W/BCD

  • Clinical Social Worker
  • Moraine, OH
  • NPI 1003100207

  Mental Health

  NPD (past)
• Joshua Reed, LPCC-S

  • Professional Counselor
  • Dayton, OH
  • NPI 1235534041
  NPD (past)
• Barbara Ripley, MSW, LSW

  • Social Worker
  • Springfield, OH
  • NPI 1033310040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1003851411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N FOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021118",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021118",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Scioto St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430782226",
            "country_code": "US",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-325-5564"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "0284",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0284",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "0284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Family Service Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Catherine Weimer, CDCA
• Raymond Weimer
• Alison Weiss, D.O.
• Jonathan Barrett Wells, D.D.S.
• R. Dean Wells
• Wellspring
• Arielle Wenig
• Meggin Wernz
• Sheila Marie Wertz, RN
• Casey Marie West, OD

• Mental Health Counselor in Springfield, OH
• Providers in Springfield, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.