Active NPI
Wellspring Wellness Manifest
- Peer Specialist
- San Antonio, TX
National Provider Identifier
1760853626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
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, IRSS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | TX | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Peer Specialist | 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 DirectoryLocations
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.