Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1003851411 Organization (Entity Type 2)

Wellspring

Counselor - Mental Health • Springfield, OH

About Wellspring NPI 1003851411 Summary

Wellspring is a verified healthcare organization specializing in Counselor - Mental Health operating in Springfield, OH. Located at 101 N FOUNTAIN AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1003851411.

Administrative operations and authorized compliance are overseen by Tiffany Nelson (Office Manager).

The facility is associated with 6 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

101 N Fountain Ave

Springfield, OH 455021118

Telephone 9373255564
Fax 9373255564

Authorized Official Information

Authorized Contact Name

Tiffany Nelson

Title / Role

Office Manager

Official Telephone

9373255564

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

6 Linked

Counselor - Professional

Springfield, OH

View Practitioner Profile →

Occupational Therapist

Urbana, OH

View Practitioner Profile →
Crystal Alexander NPI 1356748768

Physical Therapist

Urbana, OH

View Practitioner Profile →

Speech-Language Pathologist

Urbana, OH

View Practitioner Profile →

Occupational Therapy Assistant

Urbana, OH

View Practitioner Profile →

Occupational Therapist

Urbana, OH

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

906 Scioto St

Urbana, OH 430782226

Phone: 9373255564

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events
📍
Updated Practice Location December 16, 2024

Registered at 101 N FOUNTAIN AVE, SPRINGFIELD, OH 455021118 (Tel: 9373255564)

📍
Updated Business Mailing Address December 16, 2024

Registered at 101 N FOUNTAIN AVE, SPRINGFIELD, OH 455021118 (Tel: 9373255564)

📍
Updated Practice Location June 15, 2023

Registered at 701 E COLUMBIA ST, SPRINGFIELD, OH 455034404 (Tel: 9373255564)

📍
Updated Business Mailing Address June 15, 2023

Registered at 701 E COLUMBIA ST, SPRINGFIELD, OH 455034404 (Tel: 9373255564)

NPI Profile Active April 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2012

Registered at 15 E PLEASANT ST, SPRINGFIELD, OH 455062201 (Tel: 9373251177)

📍
Updated Business Mailing Address April 02, 2012

Registered at 15 E PLEASANT ST, SPRINGFIELD, OH 455062201 (Tel: 9373251177)

🏛️
Organization / Clinic Name Updated April 02, 2012

Operating as WELLSPRING

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2012

Counselor (License #0284 in OH)

🟢
Initial NPI Registration & Enumeration June 19, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Wellspring. Be the first to share your experience with this healthcare facility!
Have you visited Wellspring? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1003851411
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 19, 2006
Last Update: December 16, 2024

Mailing Address

101 N Fountain Ave

Springfield, OH 455021118

Phone: 9373255564

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.