NPIMap

Organization Active NPI

Wellspring Counselling Center, LLC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1760529168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC1693 Issued in AZ
Legal business name
WELLSPRING COUNSELLING CENTER, LLC
Practice address
207 N Gilbert Rd
Ste. 107
Gilbert, AZ 85234-5812
Phone
(480) 345-1313
Fax
(480) 345-8282
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christine Packard, LPCNPI 1154474963
Title
Owner
Phone
(480) 345-1313

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 Counselor 101YP2500X LPC1693 AZ Primary

Addresses

Primary practice location

207 N Gilbert Rd
Ste. 107
Gilbert, AZ 85234-5812

Mailing address

207 N Gilbert Rd
Ste. 107
Gilbert, AZ 85234-5812
Phone (480) 345-1313

National Provider Directory

National Provider Directory

Locations

207 N Gilbert Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 345-1313

Practitioners & affiliated clinicians

Practitioners 4

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760529168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N GILBERT RD",
            "address_2": "STE. 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345812",
            "telephone_number": "480-345-1313",
            "fax_number": "480-345-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N GILBERT RD",
            "address_2": "STE. 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345812",
            "telephone_number": "480-345-1313",
            "fax_number": "480-345-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELLING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-345-1313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.