Wellspring Therapy, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007101 Issued in IL

Legal business name

WELLSPRING THERAPY, PC

Practice address

1112 N Ashland Ave
#1R
Chicago, IL 60622-3935

Phone

(773) 793-4095

Fax

(773) 772-3528

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Allen Jones, LCPC, MANPI 1255505301

Title

President

Phone

(773) 793-4095

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wayne Allen Jones, LCPC, MA

  • Professional Counselor
  • Willowbrook, IL
  • NPI 1255505301
  NPD (past) Authorized official

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1447487533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N ASHLAND AVE",
            "address_2": "#1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223935",
            "telephone_number": "773-793-4095",
            "fax_number": "773-772-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N ASHLAND AVE",
            "address_2": "#1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223935",
            "telephone_number": "773-793-4095",
            "fax_number": "773-772-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-793-4095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Annmarie E Wells, D.C.
• Wyshawnda Wells
• Wellsmith PLLC
• Wellspire Counseling PLLC
• Wellspire Counseling PLLC
• Wellsprings Health Associates
• Christina Marie Welsh, O.D.
• Clayton Robert Welsh, MD
• Mallory Margaret Welsh, LCSW
• Sean Welsh, PSYD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.