Wellspring Counseling

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

WELLSPRING COUNSELING

Practice address

1345 Monroe Ave NW
Suite 254
Grand Rapids, MI 49505-4671

Phone

(616) 460-3341

Fax

(616) 874-9197

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Kelly James Bonewell, MA, LPCNPI 1013931872

Title

Executive Director

Phone

(616) 460-3341

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kelly James Bonewell, PHD, LPC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1013931872
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962424887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW",
            "address_2": "SUITE 254",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054671",
            "telephone_number": "616-460-3341",
            "fax_number": "616-874-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW",
            "address_2": "SUITE 254",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054671",
            "telephone_number": "616-460-3341",
            "fax_number": "616-874-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONEWELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-460-3341",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Wells
• Erica Wells, LMSW
• Jarma Wells, MSW
• Jason Wells, M.D.
• Sean Wells Jr.
• Welltech Recovery Solutions, LLC
• Aubrey Ann Welniak, LMSW
• Bryce Welsh, PHARMD
• Kirk Bryant Welsh, MD
• Michael Welsh, PA-C

• Voluntary or Charitable Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.