Organization Active NPI

Wellspring Intervention LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goldsboro, NC
National Provider Identifier
1891686044
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLSPRING INTERVENTION LLC
Practice address
1506 Wayne Memorial Dr Ste F
Goldsboro, NC 27534-2202
Phone
(984) 305-8004
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Mr. Tuvares Montrel Thompson
Title
Executive Director
Phone
(984) 305-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1506 Wayne Memorial Dr Ste F
Goldsboro, NC 27534-2202

Mailing address

202 Johnson Branch Rd
Goldsboro, NC 27534-9606
Phone (984) 305-8004

National Provider Directory

National Provider Directory

Locations

1506 Wayne Memorial Dr
Ste F
Goldsboro, NC 27534
Phone (888) 258-6905

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1891686044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JOHNSON BRANCH RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349606",
            "telephone_number": "984-305-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 WAYNE MEMORIAL DR STE F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342202",
            "telephone_number": "984-305-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TUVARES",
        "authorized_official_middle_name": "MONTREL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "984-305-8004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.