Individual provider Active NPI

Donald Wayne Welch, PH.D., M.S.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1093885956
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT50129 Issued in CA
Practice address
4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100
Phone
(619) 280-3430
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT50129 CA Primary

Addresses

Primary practice location

4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100

Mailing address

4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100
Phone (619) 280-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004170 CA Practitioner - Marriage and Family Therapist 3870879398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Enriching Relationships IncGroup PAC ID 0143506667, 10 clinicians

Practice addresses (Care Compare)

4025 Camino del Rio S
Suite 250
San Diego, CA 92108-4100
Phone (619) 858-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT50129CAMDMarriage & Family Therapist
50129CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Enriching Relationships, Inc Marriage & Family Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

4025 Camino del Rio S
Ste 250
San Diego, CA 92108
Phone (619) 280-3430

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1482451200000",
    "number": "1093885956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084100",
            "telephone_number": "619-280-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084100",
            "telephone_number": "619-280-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "credential": "PH.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT50129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.