Organization Active NPI

Wellspring Counseling LLC

Doing business as Wellspring Counseling

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1578021010
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WELLSPRING COUNSELING LLC
Doing business as
Wellspring Counseling
Practice address
156 Milestone Way Ste D
Greenville, SC 29615-5091
Phone
(864) 214-2084
Fax
(864) 214-0229
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Mr. Jonathan Kittel, LPC, LMFTNPI 1730617762
Title
Owner/Counselor
Phone
(864) 423-0994

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

156 Milestone Way Ste D
Greenville, SC 29615-5091

Mailing address

16 Leacroft Dr
Greenville, SC 29615-2234
Phone (864) 423-0994

Other identifiers 1

IdentifierTypeStateIssuer
1730617762OtherSCNPI TYPE 1

Other names 2

  • Wellspring Counseling Doing business as
  • Jonathan Kittel LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

156 Milestone Way
Ste D
Greenville, SC 29615
Phone (864) 214-2084

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": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1578021010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LEACROFT DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152234",
            "telephone_number": "864-423-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 MILESTONE WAY STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155091",
            "telephone_number": "864-214-2084",
            "fax_number": "864-214-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "KITTEL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "864-423-0994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1730617762",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonathan Kittel LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.