Wellspring Renewal Center
NPI 1053833939ActiveOrganization· Counselor, Mental Health· Little Rock, AR
Counselor, Mental Health in Little Rock, Arkansas, registered in NPPES in July 2017. The authorized official on file is Rebecca Spooner, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053833939 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2017 |
| Last updated in NPPES | Jul 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | P1101005 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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