NPIMap

Organization Active NPI

Spring Grove Wellness

  • Professional Counselor
  • Spring Grove, IL
National Provider Identifier
1770929861
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPRING GROVE WELLNESS
Practice address
2440 Westward Dr
Spring Grove, IL 60081-8888
Phone
(847) 445-9126
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Betsy WellsNPI 1609041326
Title
Co-Owner
Phone
(847) 445-0023

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 NU Primary

Addresses

Primary practice location

2440 Westward Dr
Spring Grove, IL 60081-8888

Mailing address

PO Box 410
Spring Grove, IL 60081-0410
Phone (847) 445-9126

National Provider Directory

National Provider Directory

Locations

2440 Westward Dr
Spring Grove, IL 60081
Phone (847) 445-0023

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": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1770929861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600810410",
            "telephone_number": "847-445-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WESTWARD DR",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818888",
            "telephone_number": "847-445-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GROVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-445-0023"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.