Active NPI
Wellsprings Family Counseling Center, Professional Corporation
- Addiction (Substance Use Disorder) Counselor
- San Lorenzo, CA
National Provider Identifier
1205796588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- WELLSPRINGS FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
- Practice address
- 17267 Via Annette
San Lorenzo, CA 94580-2601 - Phone
- (510) 432-3479
- Fax
- (510) 432-3479
- NPI assigned
- Nov 17, 2025
- Last updated
- Nov 17, 2025
- 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
- Mrs. Anna Phillips, LMFT
- Title
- Director
- Phone
- (510) 775-1969
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
17267 Via Annette
San Lorenzo, CA 94580-2601
Mailing address
17267 Via Annette
San Lorenzo, CA 94580-2601
Phone (510) 432-3479
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Hayward, CA
- NPI 1922334341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1205796588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17267 VIA ANNETTE",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945802601",
"telephone_number": "510-432-3479",
"fax_number": "510-432-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17267 VIA ANNETTE",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945802601",
"telephone_number": "510-432-3479",
"fax_number": "510-432-3479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRINGS FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "510-775-1969",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.