Wellspring Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1983 Issued in WI

Legal business name

WELLSPRING COUNSELING LLC

Practice address

5610 Medical Circle #25
Madison, WI 53719-1295

Phone

(608) 274-5871

Fax

(608) 274-5764

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Ryel M Estes, LMFTNPI 1427349547

Title

Owner

Phone

(608) 274-5871

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bryce M. Mitchell DBA Wellspring Psychotherapy & Counseling Center Former legal business name

Locations

Practitioners 2

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

• Ryel M Estes, MS, LMFT

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1427349547
  NPD (past) Authorized official
• Ruth Ione Price

  • Counselor
  • Madison, WI
  • NPI 1518949197
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1790774115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 MEDICAL CIRCLE #25",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191295",
            "telephone_number": "608-274-5871",
            "fax_number": "608-274-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 MEDICAL CIRCLE #25",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191295",
            "telephone_number": "608-274-5871",
            "fax_number": "608-274-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "RYEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-274-5871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42198500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryce M. Mitchell DBA Wellspring Psychotherapy & Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jordan Leigh Wells
• Leah Ellis Wells, MD
• Meghan Wells, PA-C
• Ngoc-Quynh Nguyen Wells, PHD
• Shanda R Wells, PHD
• Richard O Welnick, MD
• Jeffrey L Welsch, PA-C
• Suzanne M Welsch, MD
• Kaitlin Paige Welsh, MSW, CAPSW
• Vanessa Mercedes Welten, MD MPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.