Organization Active NPI

Wellspring Counseling Ky

Doing business as Wellsprings Wellness of Lake Cumberland

  • Counseling Psychologist
  • Somerset, KY
National Provider Identifier
1609567627
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellspring Counseling Ky2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.