NPIMap

Organization Active NPI

Wellspring Christian Counseling

  • Counselor
  • Chesterfield, MO
National Provider Identifier
1417255258
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WELLSPRING CHRISTIAN COUNSELING
Practice address
1400 Elbridge Payne Rd
Suite 200
Chesterfield, MO 63017-8520
Phone
(636) 449-1250
Fax
(636) 449-1268
NPI assigned
Mar 2, 2011
Organization subpart
Yes
Parent organization
WELLSPRING CHRISTIAN COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Jeff Oberle, LPC
Title
Director of Administration
Phone
(314) 604-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1400 Elbridge Payne Rd
Suite 200
Chesterfield, MO 63017-8520

Mailing address

1400 Elbridge Payne Rd
Suite 200
Chesterfield, MO 63017-8520
Phone (636) 449-1250

Other names 1

  • Wellspring Christian Counseling Other name

National Provider Directory

National Provider Directory
Tax ID family
Wellspring Christian Counseling2 organizations share this tax ID, including this one
Part of
Wellspring Christian Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 Elbridge Payne Rd
Ste 200
Chesterfield, MO 63017
Phone (636) 449-1250

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1417255258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ELBRIDGE PAYNE RD",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178520",
            "telephone_number": "636-449-1250",
            "fax_number": "636-449-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ELBRIDGE PAYNE RD",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178520",
            "telephone_number": "636-449-1250",
            "fax_number": "636-449-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CHRISTIAN COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSPRING CHRISTIAN COUNSELING",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "OBERLE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "314-604-5622",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Christian Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.