Wellspring, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WELLSPRING, INC.

Doing business as

Wellfully

Practice address

22 Waterloo St
Rapid City, SD 57701-1656

Phone

(605) 718-4870

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Jolene Deett Krick

Title

Office Manager

Phone

(605) 718-4870

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellfully Doing business as

Electronic endpoints 1

Tax ID family

Soaring Eagle Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wellspring Inc.

  • Psychiatry Physician
  • Rapid City, SD
  • NPI 1891823332
  NPD tax ID
• Wellspring, Inc.

  • Substance Abuse Rehabilitation Facility
  • Rapid City, SD
  • NPI 1295090082
  NPD tax ID

Locations

Practitioners 3

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

• Amber Rose Eggert, CHW

  • Community Health Worker
  • Rapid City, SD
  • NPI 1508565631
  NPD
• Kelley Hermann, CSW

  • Social Worker
  • Rapid City, SD
  • NPI 1639958754
  NPD
• Leah Danielle Drummond

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1629783279
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1851059208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577091087",
            "telephone_number": "605-718-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WATERLOO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011656",
            "telephone_number": "605-718-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "DEETT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-718-4870"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6057184870",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@wellfully.org",
            "affiliation": "N",
            "endpointDescription": "Info email account.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 Waterloo St",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577011656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellfully",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renae Elizabeth Welke, OD
• Bryan J Wellman, MD
• Wellspring
• Wellspring Inc.
• Wellspring, Inc.
• Gary Welsh
• Kristin Wempe, MD
• Tiffani R Wenande, PHARM.D.
• Sydney Wendt, OD
• Amber Wenger

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.