NPIMap

Organization Active NPI

Life Springs PLLC

  • Psychologist
  • Somerset, KY
National Provider Identifier
1861924953
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
KY-0085 Issued in KY
Legal business name
LIFE SPRINGS PLLC
Practice address
138 Kent Haven Dr
Somerset, KY 42503-6281
Phone
(606) 676-2513
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Mr. Dustin E Phelps, MSNPI 1447379227
Title
Co-Owner
Phone
(606) 676-2513

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X KY
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X KY
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X KY-0085 KY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X KY

Addresses

Primary practice location

138 Kent Haven Dr
Somerset, KY 42503-6281

Mailing address

138 Kent Haven Dr
Somerset, KY 42503-6281

National Provider Directory

National Provider Directory

Locations

647 W Highway 80
Ste 1
Somerset, KY 42503
Phone (606) 802-2880

465 S Highway 27
Ste 2
Somerset, KY 42501
Phone (606) 802-2880

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1861924953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 KENT HAVEN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 KENT HAVEN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036281",
            "telephone_number": "606-676-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-676-2513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY-0085",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.