Wellspring CT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

520 Issued in MN

Legal business name

WELLSPRING CT

Practice address

4048 Lakeland Ave N
Minneapolis, MN 55422-2381

Phone

(612) 325-8357

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth Becker, MA, LADC, LPCC

Title

Owner

Phone

(612) 325-8357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1902358716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 LAKELAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222381",
            "telephone_number": "612-325-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 LAKELAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222381",
            "telephone_number": "612-325-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-325-8357",
        "authorized_official_credential": "MA, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekaleigha Auney Wells
• Michele Marie Wells, PT
• William Wells, RN
• Wellshare International
• Wellsong Counseling LLC
• Wellspring Second Chance Center
• Evan Rustad Welo, PA-C
• Jenna Welo
• Joseph Arthur Wels, M.D.
• Ella Maria Welsh

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.