Wellspring Counseling Center of Greater Lafayette, Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WELLSPRING COUNSELING CENTER OF GREATER LAFAYETTE, INC

Practice address

2655 Yeager Rd
Ste 102
West Lafayette, IN 47906-1337

Phone

(765) 237-3326

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Joshua Ezra

Title

Treasurer

Phone

(888) 818-9915

Specialties & licenses 6

Addresses

Locations

Practitioners 1

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

• Jennifer Francis Chittenden, LMHC

  • Mental Health Counselor
  • West Lafayette, IN
  • NPI 1114695996
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1760920474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 YEAGER RD",
            "address_2": "STE 102",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061337",
            "telephone_number": "765-237-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 YEAGER RD",
            "address_2": "STE 102",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061337",
            "telephone_number": "765-237-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING CENTER OF GREATER LAFAYETTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "EZRA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "888-818-9915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Wehr, M.D.
• Jennifer Nicole Weida, D.C.
• Ellen Welch
• Benjamin Welk, RBT
• Gordon Daniel Welk, MD
• Caralyn Marie Wendling, M.S.
• Donald L Werden, PHD
• Lisa B Werth, LCSW
• West Lafayette Alf Operations LLC
• West Lafayette Community School Corporation

• Counselor in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.