Organization Active NPI

Wellsprings Recovery Center, LLC.

  • Mental Health Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1295358745
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLSPRINGS RECOVERY CENTER, LLC.
Practice address
275 Graham Rd Ste 2
Cuyahoga Falls, OH 44223-2259
Phone
(216) 407-4861
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mrs. Patricia Mitchell MasonNPI 1598382533
Title
Executive Director / Owner
Phone
(216) 407-4861

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

275 Graham Rd Ste 2
Cuyahoga Falls, OH 44223-2259

Mailing address

1700 W Market St # 223
Akron, OH 44313-7002
Phone (216) 407-4861

Other names 1

  • Wellsprings Recovery Center, LLC. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Wellsprings Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1295358745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W MARKET ST # 223",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137002",
            "telephone_number": "216-407-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD STE 2",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "216-407-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS RECOVERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "216-407-4861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsprings Recovery Center, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.