WELLSPRINGS WELLNESS LLC
NPI 1144886763
Nurse Practitioner - Psychiatric/Mental Health in Somerset, KY

Active since May 20, 2019CLIA 18D2167758 · Waiver
200 BELMONT AVE, SOMERSET, KY 42501(606) 687-2038(606) 200-3654 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, May 17, 2023, Mar 10, 2023 and 3 more (6 updates tracked since 2019).

About Wellsprings Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPRINGS WELLNESS LLC (NPI 1144886763) is a healthcare organization registered as a psychiatric/mental health in Somerset, Kentucky and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Tricia L Whitaker, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1144886763
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLSPRINGS WELLNESS LLC
Location Address200 BELMONT AVESomerset, KY 42501-2419
Mailing AddressPo Box 3044West Somerset, KY 42564-3044 · (606) 687-2038 · Fax (606) 200-3654
Fax(606) 200-3654
Organization SubpartNo
Authorized OfficialTricia L WhitakerChief Executive Officer · (606) 687-2038
Enumeration DateMay 20, 2019
Last NPPES UpdateMay 10, 20246 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
NPI 1144886763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
200 BELMONT AVE, Somerset, KY 42501

Other Identifiers 1

Medicaid7100599060KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2167758

Wellsprings Wellness, LLC · Somerset, KY
Active · expires Jun 13, 2027
CLIA Number18D2167758
Laboratory TypePractitioner Other
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorMs. Susan T. Sloan
Laboratory Phone(606) 678-2038
Laboratory LocationWellsprings Wellness, LLC200 Belmont Ave, Somerset, KY 42501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
200 BELMONT AVE
SOMERSET, KY 42501
Nurse Practitioner (Psychiatric/Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Professional)
200 BELMONT AVE
SOMERSET, KY 42501
Social Worker (Clinical)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Nurse Practitioner (Family)
200 BELMONT AVE
SOMERSET, KY 42501
Social Worker (Clinical)
200 BELMONT AVE
SOMERSET, KY 42501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellsprings Wellness LLC's NPI number?

The NPI number for Wellsprings Wellness LLC is 1144886763. It was assigned to this organization in the NPPES registry on May 20, 2019.

Where is Wellsprings Wellness LLC located?

Wellsprings Wellness LLC is located at 200 Belmont Ave, Somerset, KY 42501. The listed phone number is (606) 687-2038.

What is Wellsprings Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Wellsprings Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2167758) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellsprings Wellness LLC was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.