NPIMap

Organization Active NPI

Wellspring Family Services

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1417218025
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MG 60226732 Issued in WA
Legal business name
WELLSPRING FAMILY SERVICES
Practice address
1900 Rainier Ave S
Seattle, WA 98144-4606
Phone
(206) 826-3040
Fax
(866) 451-0126
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Judith Burr-Chellin, LMHC
Title
Director/Supervisor
Phone
(206) 902-4227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MG 60226732 WA Primary

Addresses

Primary practice location

1900 Rainier Ave S
Seattle, WA 98144-4606

Mailing address

1900 Rainier Ave S
Seattle, WA 98144-4606
Phone (206) 826-3040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1417218025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3040",
            "fax_number": "866-451-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444606",
            "telephone_number": "206-826-3040",
            "fax_number": "866-451-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "BURR-CHELLIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR/SUPERVISOR",
        "authorized_official_telephone_number": "206-902-4227",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "MG 60226732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.