NPIMap

Organization Active NPI

Wellspring Family Services

  • Community/Behavioral Health Agency
  • Weirton, WV
National Provider Identifier
1841560182
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLSPRING FAMILY SERVICES
Practice address
3200 Main St
Weirton, WV 26062-4725
Phone
(304) 748-3768
NPI assigned
Jan 4, 2012
Organization subpart
Yes
Parent organization
CRITTENTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mrs. Beverly Petrelli, MSW
Title
Vice President
Phone
(304) 242-7060

Specialties & licenses 1

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

Addresses

Primary practice location

3200 Main St
Weirton, WV 26062-4725

Mailing address

3200 Main St
Weirton, WV 26062-4725
Phone (304) 748-3768

National Provider Directory

National Provider Directory
Tax ID family
Florence Crittenton Programs Inc6 organizations share this tax ID, including this one
Part of
Florence Crittenton Services Inc

Other organizations with this tax ID 5

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

Locations

3200 Main St
Weirton, WV 26062
Phone (304) 748-3768

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1841560182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624725",
            "telephone_number": "304-748-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624725",
            "telephone_number": "304-748-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITTENTON",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PETRELLI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-242-7060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.