Organization Active NPI

The Wellspring Alliance for Families, Inc.

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1427223064
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE WELLSPRING ALLIANCE FOR FAMILIES, INC.
Practice address
1904 Royal Ave
Monroe, LA 71201-5724
Phone
(318) 323-1505
Fax
(318) 323-1361
NPI assigned
Apr 24, 2008
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Lisa LongenbaughNPI 1457487324
Title
Supervisor
Phone
(318) 323-1505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

1904 Royal Ave
Monroe, LA 71201-5724

Mailing address

1904 Royal Ave
Monroe, LA 71201-5724
Phone (318) 323-1505

National Provider Directory

National Provider Directory
Tax ID family
The Wellspring Alliance for Families2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1103 Hudson Ln
Ste 1
Monroe, LA 71201
Phone (318) 323-1505

1904 Royal Ave
Monroe, LA 71201
Phone (318) 323-1505

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1427223064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015724",
            "telephone_number": "318-323-1505",
            "fax_number": "318-323-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015724",
            "telephone_number": "318-323-1505",
            "fax_number": "318-323-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLSPRING ALLIANCE FOR FAMILIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "LONGENBAUGH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "318-323-1505"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.