Wellsprings Mental Health Solutions, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLSPRINGS MENTAL HEALTH SOLUTIONS, PLLC

Practice address

823 Elm St Ste 200
Fayetteville, NC 28303-4164

Phone

(910) 580-8195

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Mariah Hazen, PMHNP-BCNPI 1598429052

Title

Owner/Provider

Phone

(910) 885-4849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Mariah Hazen, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1598429052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1407517840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 LAKERIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040507",
            "telephone_number": "910-885-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034164",
            "telephone_number": "910-580-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS MENTAL HEALTH SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "910-885-4849",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Veronica Wells, PHARMD
• Nathenia Wells
• Taylor Scott Wells, PHARMD, CPP
• Teresa Wells, PHARMD
• Tracey A. Wells, MS
• Sydney Welt, MD
• Monaye E. Welton
• Hermann J Wendorff, MD
• Frances Tyndall Wenrich, LPTA
• Kyra Wensley, OTR/L

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.