Organization Active NPI

Wellspring Counseling & Consultation

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1336722792
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLSPRING COUNSELING & CONSULTATION
Practice address
1623 Poyntz Ave
Manhattan, KS 66502-4148
Phone
(785) 380-7833
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Daffney Kubler-Hoffman, DSW, LSCSW, LCACNPI 1306032479
Title
Owner
Phone
(254) 291-4183

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1623 Poyntz Ave
Manhattan, KS 66502-4148

Mailing address

3940 Golden Eagle Dr
Manhattan, KS 66502-1488
Phone (254) 291-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230406001630 KS Part B Supplier - Clinic/Group Practice 8022483932 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1336722792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 GOLDEN EAGLE DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665021488",
            "telephone_number": "254-291-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024148",
            "telephone_number": "785-380-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KUBLER-HOFFMAN",
        "authorized_official_first_name": "DAFFNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-291-4183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LSCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.