Organization Active NPI

Well Spring Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
National Provider Identifier
1457521023
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELL SPRING COUNSELING, LLC
Practice address
1970 E 17TH St
Idaho Falls, ID 83404-8014
Phone
(208) 557-7500
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Robert Stahn, LCPCNPI 1467622035
Title
Owner
Phone
(208) 557-7500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1970 E 17TH St
Idaho Falls, ID 83404-8014

Mailing address

1970 E 17TH St
Idaho Falls, ID 83404-8014
Phone (208) 557-7500

National Provider Directory

National Provider Directory

Locations

1970 E 17th St
Idaho Falls, ID 83404
Phone (208) 557-7500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1457521023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048014",
            "telephone_number": "208-557-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048014",
            "telephone_number": "208-557-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPRING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "STAHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-557-7500",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.