WELLSPRING PSYCHOLOGY GROUP LLC
NPI 1255756565
Psychologist - Clinical in Florence, SC
About Wellspring Psychology Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING PSYCHOLOGY GROUP LLC (NPI 1255756565) is a healthcare organization registered as a clinical in Florence, South Carolina and active in the NPI registry since February 2014. The organization lists Jason Dean Anderson, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Psychology Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Wellspring Psychology Group LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 16 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (18)
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 Psychology Group LLC's NPI number?
The NPI number for Wellspring Psychology Group LLC is 1255756565. It was assigned to this organization in the NPPES registry on February 24, 2014.
Where is Wellspring Psychology Group LLC located?
Wellspring Psychology Group LLC is located at 1340 Celebration Blvd Unit A, Florence, SC 29501. The listed phone number is (843) 536-1180.
What is Wellspring Psychology Group LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Wellspring Psychology Group LLC enrolled in Medicare?
Yes. Wellspring Psychology Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Psychology Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Wellspring Psychology Group 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. The largest specialties are Mental Health Counselor (13), Clinical Psychologist (3) and Clinical Social Worker (2). Of these, 10 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wellspring Psychology Group LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Wellspring Psychology Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wellspring Psychology Group LLC was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 Psychology Group Llc · NPI 1255756565
Clinical organization in Florence, South Carolina. Organization record, active in the CMS NPPES registry since February 24, 2014.
## Identity
- **NPI:** 1255756565 (Entity type: Organization)
- **Enumerated:** February 24, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Jason Anderson, PARTNER
## Practice location
- **Address:** 1340 CELEBRATION BLVD, UNIT A, Florence, SC 29501-5585
- **Phone:** (843) 536-1180 · **Fax:** (843) 536-1116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (13), Clinical Psychologist (3), Clinical Social Worker (2); 10 practice at this address and 16 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2014
- **Other identifiers:** Medicare PIN Q346178236 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1255756565) · Data from the CMS NPPES public registry.