Organization Active NPI

Wellspring Counseling Services LLP

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1396761821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLSPRING COUNSELING SERVICES LLP
Practice address
328 E Washington St
Suite 200
Iowa City, IA 52240-3988
Phone
(319) 341-5933
Fax
(319) 341-5920
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Michael Cooper
Title
Administrator
Phone
(319) 341-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

328 E Washington St
Suite 200
Iowa City, IA 52240-3988

Mailing address

328 E Washington St
Suite 200
Iowa City, IA 52240-3988
Phone (319) 341-5933

Other identifiers 1

IdentifierTypeStateIssuer
38482OtherIABC/BS GROUP #

National Provider Directory

National Provider Directory

Locations

1150 5th St
Ste 267
Coralville, IA 52241
Phone (319) 341-5933

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396761821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403988",
            "telephone_number": "319-341-5933",
            "fax_number": "319-341-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403988",
            "telephone_number": "319-341-5933",
            "fax_number": "319-341-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-341-5933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "38482",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.