WELLSPRING OF LIFE, LLC
NPI 1154700110
Counselor - Professional in Erie, PA
About Wellspring Of Life, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING OF LIFE, LLC (NPI 1154700110) is a healthcare organization registered as a professional in Erie, Pennsylvania and active in the NPI registry since May 2015. The organization lists Patrick Damond, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspring Of Life, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wellspring Of Life, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wellspring Of Life, LLC's NPI number?
The NPI number for Wellspring Of Life, LLC is 1154700110. It was assigned to this organization in the NPPES registry on May 23, 2015.
Where is Wellspring Of Life, LLC located?
Wellspring Of Life, LLC is located at 1163 E 38th St, Erie, PA 16504. The listed phone number is (814) 812-9738.
What is Wellspring Of Life, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Wellspring Of Life, LLC enrolled in Medicare?
Yes. Wellspring Of Life, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Of Life, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Wellspring Of Life, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellspring Of Life, LLC was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wellspring Of Life, Llc · NPI 1154700110
Professional organization in Erie, Pennsylvania. Organization record, active in the CMS NPPES registry since May 23, 2015.
## Identity
- **NPI:** 1154700110 (Entity type: Organization)
- **Enumerated:** May 23, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Patrick Damond, OWNER
## Practice location
- **Address:** 1163 E 38TH ST, Erie, PA 16504-1869
- **Phone:** (814) 812-9738 · **Fax:** (814) 790-5999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1154700110) · Data from the CMS NPPES public registry.