Organization Active NPI

Wellspring Counseling Group

  • Community/Behavioral Health Agency
  • Roanoke, VA
National Provider Identifier
1083129126
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904010077 Issued in VA
Legal business name
WELLSPRING COUNSELING GROUP
Practice address
4800 Pleasant Hill Dr Ste 102
Roanoke, VA 24018-3406
Phone
(540) 777-3935
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Mr. Alfred Lloyd Robrecht, LCSW
Title
Owner
Phone
(540) 312-9832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904010077 VA Primary

Addresses

Primary practice location

4800 Pleasant Hill Dr Ste 102
Roanoke, VA 24018-3406

Mailing address

4800 Pleasant Hill Dr Ste 102
Roanoke, VA 24018-3406
Phone (540) 777-3935

National Provider Directory

National Provider Directory

Locations

4800 Pleasant Hill Dr
Ste 102
Roanoke, VA 24018
Phone (540) 512-9754

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1083129126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 PLEASANT HILL DR STE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183406",
            "telephone_number": "540-777-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 PLEASANT HILL DR STE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183406",
            "telephone_number": "540-777-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ROBRECHT",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-312-9832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904010077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.