Wellspring Healing

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLSPRING HEALING

Practice address

1800 Old Pecos TRL Ste B
Santa Fe, NM 87505-4787

Phone

(505) 690-6679

NPI assigned

Apr 7, 2018

Organization subpart

No

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

Authorized official

Name

Audra Genduso, LMT, LMHCNPI 1831529445

Title

Owner

Phone

(505) 690-6679

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Audra Genduso, LMT

  • Massage Therapist
  • Santa Fe, NM
  • NPI 1831529445
  NPD Authorized official

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1306343215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRAYHAWK PL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OLD PECOS TRL STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054787",
            "telephone_number": "505-690-6679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Pinon St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875053454",
            "country_code": "US",
            "telephone_number": "505-690-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "GENDUSO",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-690-6679",
        "authorized_official_credential": "LMT, LMHC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "4830",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Welch, LPCC
• Suzanna Marie Weldon, LMSW
• Wellbeingsfnm
• Rebecca L Welling, DOM
• Wellness Works Physical Therapy LLC
• Thomas Edward Welter, MC LPCC
• Wendy Ludlow
• Ssu Isabel Weng, MD
• Amanda L Wengs, LPN
• Karen Renee Wennberg, MA, LPCC, LPAT

• Multi-Specialty Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.