| Wellsprings Wellness Llc | |
|
200 Belmont Ave Somerset KY 42501-2419 | |
| (606) 687-2038 | |
| (606) 200-3654 |
| Full Name | Wellsprings Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 Belmont Ave, Somerset, Kentucky |
| Authorized Official Name and Position | Tricia L Whitaker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6066872038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Wellness Llc Po Box 3044 West Somerset KY 42564-3044 Ph: (606) 687-2038 | Wellsprings Wellness Llc 200 Belmont Ave Somerset KY 42501-2419 Ph: (606) 687-2038 |
| NPI Number | 1144886763 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 2466780754 |
|---|---|
| Medicare Enrollment ID | O20190823003039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144886763 | NPI | - | NPPES |
| 7100599060 | Medicaid | KY |
| Provider Name | Cheri Michelle Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548868268 PECOS PAC ID: 0446670087 Enrollment ID: I20201020001107 |
| Provider Name | Angela J Aaron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962866368 PECOS PAC ID: 4082023031 Enrollment ID: I20210504002741 |
| Provider Name | Lynnett Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831820638 PECOS PAC ID: 2264816776 Enrollment ID: I20220901002043 |
| Provider Name | Monica Trista Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730894817 PECOS PAC ID: 5092188219 Enrollment ID: I20230308001599 |
| Provider Name | David Bruce Yonts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609563212 PECOS PAC ID: 0648635466 Enrollment ID: I20230501002611 |
| Provider Name | Brooke Elder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134702004 PECOS PAC ID: 4981078193 Enrollment ID: I20240212000400 |
| Provider Name | Kendra M Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396237517 PECOS PAC ID: 7719320209 Enrollment ID: I20240212003999 |
| Provider Name | Letitia Holland-cundiff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922155019 PECOS PAC ID: 8426498957 Enrollment ID: I20240501002845 |
| Provider Name | Carrie Collins Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376118448 PECOS PAC ID: 0648612119 Enrollment ID: I20240529003097 |
| Provider Name | Nicholas Alexander Rives |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689396434 PECOS PAC ID: 9436692316 Enrollment ID: I20240620000309 |
| Provider Name | Sidney Dawn Wesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063241081 PECOS PAC ID: 1052850302 Enrollment ID: I20240829004322 |
| Provider Name | Shir Wasserman-harless |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1750115952 PECOS PAC ID: 3870027709 Enrollment ID: I20241114000705 |
| Provider Name | Rhonda Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568289486 PECOS PAC ID: 9638605405 Enrollment ID: I20241204002252 |
| Provider Name | Eva Marie Thomas |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1720730021 PECOS PAC ID: 3870022247 Enrollment ID: I20250130000491 |
| Provider Name | Casey Danielle Farris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811509235 PECOS PAC ID: 1153851399 Enrollment ID: I20250204000828 |
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