Active NPI
Wellspace Therapeutics, LLC
- Mental Health Counselor
- Sidney, OH
National Provider Identifier
1821647181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WELLSPACE THERAPEUTICS, LLC
- Practice address
- 1130 Wapakoneta Ave
Sidney, OH 45365-1461 - Phone
- (937) 726-0776
- NPI assigned
- Sep 10, 2019
- 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
- Amy R Krites, MSW, LISW
- Title
- Owner
- Phone
- (937) 638-4726
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1130 Wapakoneta Ave
Sidney, OH 45365-1461
Mailing address
1130 Wapakoneta Ave
Sidney, OH 45365-1461
Phone (937) 726-0776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TherapyNotes.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1130 Wapakoneta Ave
Sidney, OH 45365
Phone (937) 441-9300
110 E Poplar St
Ste 8
Sidney, OH 45365
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sidney, OH
- NPI 1700358272
-
- Social Worker
- Lima, OH
- NPI 1558784702
-
- Mental Health Counselor
- Sidney, OH
- NPI 1861239873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1821647181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 WAPAKONETA AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453651461",
"telephone_number": "937-726-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 WAPAKONETA AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453651461",
"telephone_number": "937-726-0776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPACE THERAPEUTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-10",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "KRITES",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-638-4726",
"authorized_official_credential": "MSW, LISW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TherapyNotes.com",
"affiliation": "N",
"endpointDescription": "Therapy Notes on a secure websote",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1130 Wapakoneta Ave",
"city": "Sidney",
"state": "OH",
"country_code": "US",
"postal_code": "453651461",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.