Organization Active NPI

Wellspring Counseling & Consulting

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1679023576
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7633-123 Issued in WI
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.