Organization Active NPI

Springwell Counseling & Support Services, Inc.

  • Community/Behavioral Health Agency
  • Forest, VA
National Provider Identifier
1568214625
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPRINGWELL COUNSELING & SUPPORT SERVICES, INC.
Practice address
1307 Ashburn Dr
Forest, VA 24551-4511
Phone
(434) 944-7573
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Felicia Peterson, LPC
Title
Ceo & President
Phone
(434) 944-7573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1307 Ashburn Dr
Forest, VA 24551-4511

Mailing address

1307 Ashburn Dr
Forest, VA 24551-4511
Phone (434) 944-7573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1568214625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ASHBURN DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514511",
            "telephone_number": "434-944-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ASHBURN DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514511",
            "telephone_number": "434-944-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELL COUNSELING & SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "434-944-7573",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.