Organization Active NPI

Wellsprings Family Services

  • Community/Behavioral Health Agency
  • Moundsville, WV
National Provider Identifier
1790237030
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BP00944974 Issued in WV
Legal business name
WELLSPRINGS FAMILY SERVICES
Practice address
2606 National Rd
Moundsville, WV 26003
Phone
(304) 242-7060
NPI assigned
Nov 3, 2016
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Miss Courtney L Bolton, MSW, LGSW
Title
Therapist
Phone
(304) 242-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BP00944974 WV Primary

Addresses

Primary practice location

2606 National Rd
Moundsville, WV 26003

Mailing address

2606 National Rd
Moundsville, WV 26003
Phone (304) 242-7060

National Provider Directory

National Provider Directory
Tax ID family
Florence Crittenton Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2606 National Rd
Wheeling, WV 26003
Phone (304) 242-7060

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1790237030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NATIONAL RD",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-242-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 NATIONAL RD",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-242-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "304-242-7060",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW, LGSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "BP00944974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.