WELLSPRING WHOLISTIC CARE CENTER (NPI# 1427006907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427006907 |
| Entity Type | Organization |
| Organization Name | WELLSPRING WHOLISTIC CARE CENTER |
| Practice Address |
804 S Walnut St Freeman SD 57029 |
| Mailing Address |
Po Box 73 Freeman SD 57029 |
| Practice Telephone | 6059257002 |
| Mailing Telephone | 6059257002 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | LINDA KOTZEA (SECRETARY/TREASURER) |
| Authorized Official Telephone | 6059257002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BC/BS GROUP NUMBER | 0007699 | 01 |
| Street Address |
804 S WALNUT ST |
| City | FREEMAN |
| State | SD |
| Zip Code | 57029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750352811 | Dennis D Ries | Family Medicine | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-01-27 |
| 1104426337 | Carmen Hendrix | Nurse Practitioner | 804 S Walnut St, Freeman, SD 57029-2033 | 2020-10-27 |
| 1013443555 | Blaine Gibby | Family Medicine | 804 S Walnut St, Freeman, SD 57029-2033 | 2017-05-03 |
| 1831454263 | Shakil I Hafiz | Family Medicine | 804 S Walnut St, Freeman, SD 57029-2033 | 2012-07-11 |
| 1871884239 | Freeman Regional Health Services | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2011-04-20 |
| 1508156290 | Freeman Regional Health Services | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2011-04-14 |
| 1952372336 | Douglas C Schafer | Physician Assistant | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-02-01 |
| 1851362354 | Rural Medical Clinics | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2006-02-01 |
| 1154392249 | Kenneth T Kirton Jr. | Family Medicine | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
| 1881732675 | Thomas Oneal Ulmer | Chiropractor | 1116 South County Rd, Freeman, SD 57029 | 2007-02-02 |
| 1790835015 | Jason Aanenson, Dds, PC | Dentist | 105 E. 5th Street, Freeman, SD 57029 | 2007-01-11 |
| 1831206820 | Freeman Regional Health Services | Skilled Nursing Facility | 510 E 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1649247248 | City of Freeman | Ambulance | 185 E 3rd St, Box 178, Freeman, SD 57029 | 2006-03-02 |
| 1003818006 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Box 370, Freeman, SD 57029 | 2005-08-10 |
| 1922212513 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Freeman, SD 57029 | 2007-05-10 |
| 1871638882 | Freeman Regional Health Services | Nursing Care | 510 East 8th St, Freeman, SD 57029 | 2007-02-20 |
| 1063509982 | Freeman Regional Health Services | Custodial Care Facility | 510 East 8th St, Freeman, SD 57029 | 2006-10-10 |
| Find all providers in zip 57029 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382002 | Empowerment Counseling, LLC | Counselor | 912 S Lawson St Apt 2, Aberdeen, SD 57401-6420 | 2020-09-29 |
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1982219390 | Deborah Ann Dobbins | Counselor | 321 Kansas City St Ste 120, Rapid City, SD 57701-3086 | 2020-09-11 |
| 1700498805 | Tracy Bailey | Counselor | 318 W 11th Ave, Mitchell, SD 57301-1310 | 2020-08-19 |
| 1093325706 | Lacey A. Leichtnam | Counselor | 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106-3124 | 2020-08-06 |
| 1780293159 | Kristine M Dejaeghere-tillett | Counselor | 2528 S Center Ave, Sioux Falls, SD 57105-4814 | 2020-07-30 |
| 1053938456 | Sarah E Swantner | Counselor | 1010 9th St Ste 13, Rapid City, SD 57701-3782 | 2020-07-01 |
| 1154944759 | Jenna Lynn Kvaale | Counselor | 800 E Tomar Rd, Sioux Falls, SD 57105-7007 | 2020-05-19 |
| 1134755440 | Patricia A Jonas | Counselor | 801 Jenson Ave Se, Watertown, SD 57201-5227 | 2020-03-18 |
| 1700410768 | Katelyn Tilstra | Counselor | 6209 E Silver Maple Cir Ste 102, Sioux Falls, SD 57110-7807 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.