Active NPI
Wellspring Counseling Ky
Doing business as Wellsprings Wellness of Lake Cumberland
- Counseling Psychologist
- Somerset, KY
National Provider Identifier
1609567627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- WELLSPRING COUNSELING KY
- Doing business as
- Wellsprings Wellness of Lake Cumberland
- Practice address
- 200 Belmont Ave
Somerset, KY 42501-2419 - Phone
- (606) 687-2038
- Fax
- (606) 200-3654
- NPI assigned
- May 19, 2023
- Last updated
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia L Whitaker
- Title
- Co-Owner
- Phone
- (606) 687-2038
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Counseling Psychologist | 103TC1900X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
200 Belmont Ave
Somerset, KY 42501-2419
Mailing address
200 Belmont Ave
Somerset, KY 42501-2419
Phone (606) 687-2038
Other practice location 1
200 Belmont Ave Ste 1
Somerset, KY 42501-2419
Phone (606) 687-2038
Other names 1
- WELLSPRINGS WELLNESS OF LAKE CUMBERLAND
National Provider Directory
National Provider Directory- Tax ID family
- Wellspring Counseling Ky
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wellsprings Wellness of Lake Cumberland
- Mental Health Counselor
- Somerset, KY
- NPI 1053828293
Locations
200 Belmont Ave
Ste 1
Somerset, KY 42501
Phone (606) 687-2038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1609567627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BELMONT AVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012419",
"telephone_number": "606-687-2038",
"fax_number": "606-200-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELMONT AVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012419",
"telephone_number": "606-687-2038",
"fax_number": "606-200-3654"
}
],
"practiceLocations": [
{
"address_1": "200 Belmont Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425012419",
"country_code": "US",
"telephone_number": "606-687-2038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLSPRING COUNSELING KY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-19",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "606-687-2038"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLSPRINGS WELLNESS OF LAKE CUMBERLAND",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WELLSPRINGS WELLNESS OF LAKE CUMBERLAND",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.