NPIMap

Organization Active NPI

Wellspring Wellness and Mental Health Services, LLC

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1386034049
Registry record updated Sep 25, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1943AD531301 Issued in OH
Legal business name
WELLSPRING WELLNESS AND MENTAL HEALTH SERVICES, LLC
Practice address
2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600
Phone
(772) 320-1555
Fax
(772) 320-1557
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Ms. Joan Collins
Title
Qwner/Executive Director
Phone
(772) 320-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1943AD531301 OH Primary

Addresses

Primary practice location

2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600

Mailing address

2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600
Phone (772) 320-1555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1386034049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "772-320-1555",
            "fax_number": "772-320-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "772-320-1555",
            "fax_number": "772-320-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING WELLNESS AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "QWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-320-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1943AD531301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.