NPIMap

Organization Active NPI

Wellspring Family Services

Doing business as Wellspring

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1093740573
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WELLSPRING FAMILY SERVICES
Doing business as
Wellspring
Practice address
1900 Rainier Ave S
Seattle, WA 98144-4606
Phone
(206) 826-3050
Fax
(877) 903-0711
NPI assigned
Jul 12, 2006
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Mr. Richard Keith Myers, LICSWNPI 1225207590
Title
Vice President
Phone
(425) 826-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1900 Rainier Ave S
Seattle, WA 98144-4606

Mailing address

1900 Rainier Ave S
Seattle, WA 98144-4606
Phone (206) 826-3050

Other names 1

  • Wellspring Doing business as

National Provider Directory

National Provider Directory

Locations

11911 NE 1st St
Ste 206
Bellevue, WA 98005
Phone (425) 453-7890

16150 NE 85th St
Ste 222
Redmond, WA 98052
Phone (425) 869-6687

1191 2nd Ave
Ste 680
Seattle, WA 98101
Phone (206) 654-4143

1900 Rainier Ave S
Seattle, WA 98144
Phone (206) 826-3040

9714 3rd Ave NE
Ste 110
Seattle, WA 98115
Phone (206) 524-9055

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1093740573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3050",
            "fax_number": "877-903-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3050",
            "fax_number": "877-903-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-826-3035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.