Active NPI
Wellspring Counseling & Consulting
- Clinical Social Worker
- Eau Claire, WI
National Provider Identifier
1679023576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7633-123
- Legal business name
- WELLSPRING COUNSELING & CONSULTING
- Practice address
- 1738 Brackett Ave
Eau Claire, WI 54701-4626 - Phone
- (715) 864-6386
- NPI assigned
- Oct 4, 2016
- Last updated
- Nov 6, 2017
- 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
- Cynthia A Hunt, LCSW
- Title
- Part Owner
- Phone
- (715) 514-2535
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4108-125 | WI | |
| Clinical Social Worker | 1041C0700X | 7633-123 | WI | Primary |
Addresses
Primary practice location
1738 Brackett Ave
Eau Claire, WI 54701-4626
Mailing address
1738 Brackett Ave
Eau Claire, WI 54701-4626
Phone (715) 864-6386
Other names 1
- Wellspring Counseling and Consulting, LLC
National Provider Directory
National Provider DirectoryLocations
1738 Brackett Ave
Eau Claire, WI 54701
Phone (715) 450-2465
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Eau Claire, WI
- NPI 1467605824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1679023576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 BRACKETT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014626",
"telephone_number": "715-864-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 BRACKETT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014626",
"telephone_number": "715-864-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING COUNSELING & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-04",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "715-514-2535",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4108-125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7633-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellspring Counseling and Consulting, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.