Active NPI
David Welch, LCPC
- Professional Counselor
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 390 E Congress Pkwy
Suite J
Crystal Lake, IL 60014-6202 - Phone
- (815) 356-5050
- Fax
- (815) 356-5094
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
390 E Congress Pkwy
Suite J
Crystal Lake, IL 60014-6202
Mailing address
1701 E. Woodfield Road
Suite 1000
Schaumburg, IL 60173-5113
Phone (815) 356-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320078 | Other | IL | VALUE OPTIONS GRP NUMBER |
| 1633897 | Other | IL | BCBS GRP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411
745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-004424 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients |
Locations
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
Interoperability endpoints
- david.welch.1@11356.direct.athenahealth.com
- davidwelch@tdh.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
dba Chrisman Clinic
- Rural Health Clinic/Center
- Chrisman, IL
- NPI 1447314653
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
dba Paris Clinic
- Rural Health Clinic/Center
- Paris, IL
- NPI 1548334956
-
dba Horizon Health
- Clinic/Center
- Paris, IL
- NPI 1629280367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063582047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E. WOODFIELD ROAD",
"address_2": "SUITE 1000",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735113",
"telephone_number": "815-356-5050",
"fax_number": "847-240-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E CONGRESS PKWY",
"address_2": "SUITE J",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146202",
"telephone_number": "815-356-5050",
"fax_number": "815-356-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "DAVID",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GRP NUMBER",
"identifier": "320078",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP NUMBER",
"identifier": "1633897",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.