Active NPI
Wellspring Counseling Group
- Community/Behavioral Health Agency
- Roanoke, VA
National Provider Identifier
1083129126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0904010077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.