Wellspring Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1887 Issued in SD

Legal business name

WELLSPRING INC.

Practice address

117 Knollwood Dr
Rapid City, SD 57701-0693

Phone

(605) 718-4870

Fax

(605) 718-4878

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carla Sue Dennis, CCDCIII, CCSII,

Title

Clinical Supervisor

Phone

(605) 718-4870

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Soaring Eagle Treatment Center Other name

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.

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

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1851059208
  NPD tax ID

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891823332",
    "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",
            "fax_number": "605-718-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KNOLLWOOD DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010693",
            "telephone_number": "605-718-4870",
            "fax_number": "605-718-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "605-718-4870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCDCIII, CCSII,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "1887",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SD",
            "license": "R72 97406",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5160320",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005080",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005082",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100744",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring Eagle Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Weiland
• Taylor Weitzel, RBT
• Renae Elizabeth Welke, OD
• Bryan J Wellman, MD
• Wellspring
• Wellspring, Inc.
• Wellspring, Inc.
• Gary Welsh
• Kristin Wempe, MD
• Tiffani R Wenande, PHARM.D.

• Psychiatry Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.