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WELLSPRINGS COUNSELING CENTER, LLC
NPI 1285844050
Social Worker - Clinical in Fair Lawn, NJ

Active since May 23, 2007
22-08 STATE RT 208, SUITE 16, FAIR LAWN, NJ 07410(201) 956-6363(201) 956-6026 Get Directions Write a Review

NPPES record last updated: May 6, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellsprings Counseling Center, Llc NPPES

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

WELLSPRINGS COUNSELING CENTER, LLC (NPI 1285844050) is a healthcare organization registered as a clinical in Fair Lawn, New Jersey and active in the NPI registry since May 2007. The organization lists Lisa Pro-menner, President, as its authorized official.

NPPES Registry Identity

NPI1285844050
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWELLSPRINGS COUNSELING CENTER, LLC
Location Address22-08 STATE RT 208, SUITE 16Fair Lawn, NJ 07410-2609
Mailing Address22-08 State Rt 208, Suite 16Fair Lawn, NJ 07410-2609 · (201) 956-6363 · Fax (201) 956-6026
Phone(201) 956-6363
Fax(201) 956-6026
Organization SubpartNo
Authorized OfficialLisa Pro-mennerPresident · (201) 956-6363
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 6, 2013
✔ NPI 1285844050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05191700
Definition
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.
22-08 STATE RT 208, Fair Lawn, NJ 07410
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellsprings Counseling Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wellsprings Counseling Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ann Lee
Mental Health Counselor
NPI 1720410228
22-08 ROUTE 208
Fair Lawn, NJ 07410
(201) 956-6363
✔ PECOS✔ Accepts MedicareSame address
Lisa Steiner, PH.D.
Marriage and Family Therapist
NPI 1659595601
22-08 STATE RT 208 SUITE 16
Fair Lawn, NJ 07410
(201) 956-6363
✔ PECOS✔ Accepts MedicareSame address
Susan Wilson, LAC
Mental Health Counselor
NPI 1902303035
22-08 ROUTE 208
Fair Lawn, NJ 07410
(201) 956-6363
✔ PECOS✔ Accepts MedicareSame address
Genesis Urena, LCSW
Clinical Social Worker
NPI 1699327908
22-08 ROUTE 208
Fair Lawn, NJ 07410
(201) 956-6363
✔ PECOS✔ Accepts Medicare0.2 mi

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 Wellsprings Counseling Center, LLC's NPI number?

The NPI number for Wellsprings Counseling Center, LLC is 1285844050. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Wellsprings Counseling Center, LLC located?

Wellsprings Counseling Center, LLC is located at 22-08 State Rt 208 Suite 16, Fair Lawn, NJ 07410. The listed phone number is (201) 956-6363.

What is Wellsprings Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wellsprings Counseling Center, LLC enrolled in Medicare?

Yes. Wellsprings Counseling Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellsprings Counseling Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wellsprings Counseling Center, LLC, in Clinical Social Worker, Marriage and Family Therapist and Mental Health Counselor. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellsprings Counseling Center, LLC was last updated on May 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.