Active NPI
Wellspring Counseling & Consultation
- Clinical Social Worker
- Manhattan, KS
National Provider Identifier
1336722792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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, LCAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
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.
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.