Organization Active NPI

Wellspring Wellness Manifest

  • Peer Specialist
  • San Antonio, TX
National Provider Identifier
1760853626
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
WELLSPRING WELLNESS MANIFEST
Practice address
5624 Randolph Blvd
San Antonio, TX 78233-6116
Phone
(210) 607-7125
Fax
(210) 582-2711
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Donna Speeks Armstrong, M.A.; PRSS, IRSSNPI 1215308176
Title
Coo
Phone
(210) 607-7125

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X TX
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

5624 Randolph Blvd
San Antonio, TX 78233-6116

Mailing address

2313 Lockhill Selma Rd # 111
San Antonio, TX 78230-3007
Phone (210) 607-7125

National Provider Directory

National Provider Directory

Locations

5624 Randolph Blvd
San Antonio, TX 78233
Phone (210) 607-7125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1760853626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 LOCKHILL SELMA RD # 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303007",
            "telephone_number": "210-607-7125",
            "fax_number": "210-582-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 RANDOLPH BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336116",
            "telephone_number": "210-607-7125",
            "fax_number": "210-582-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING WELLNESS MANIFEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SPEEKS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-607-7125",
        "authorized_official_credential": "M.A.; PRSS, IRSS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.