Wellspring Restorative Therapy Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLSPRING RESTORATIVE THERAPY SERVICES

Practice address

12510 Prosperity Dr Ste 180
Silver Spring, MD 20904-1695

Phone

(301) 650-5940

Fax

(240) 465-0070

NPI assigned

Aug 7, 2018

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Mason Mitchell, MBA, LCPCNPI 1124681861

Title

Ceo

Phone

(301) 650-5940

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Donna Mitchell, LCPC

  • Professional Counselor
  • Silver Spring, MD
  • NPI 1124681861

  DC

  Medicare reassignment NPD Authorized official
• Karen Whittle

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1669016697
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1518446004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 PARKLAWN DR STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522539",
            "telephone_number": "301-650-5940",
            "fax_number": "301-650-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 180",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041695",
            "telephone_number": "301-650-5940",
            "fax_number": "240-465-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING RESTORATIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-650-5940",
        "authorized_official_credential": "MBA, LCPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Steven Wells, DC
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• Welltower Opco Group LLC (Sunrise of Silver Spring)
• Cynthia Ann Welsh
• Jean Margaret Welsh, MD

• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.