Individual provider Active NPI

Laura Courtney Welcher, BCBA-D

  • Behavior Analyst
  • Hanover, MI
National Provider Identifier
1255779476
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1107356 Issued in MI
Practice address
9410 Hanover Rd
Hanover, MI 49241-9780
Phone
(616) 304-3042
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1107356 MI Primary

Addresses

Primary practice location

9410 Hanover Rd
Hanover, MI 49241-9780

Mailing address

9410 Hanover Rd
Hanover, MI 49241-9780
Phone (616) 304-3042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1107356MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Goldencare Therapy Licensed Behavior Analyst PLLC Behavior Analyst Past Accepting new patients
Residential Options, Inc. Behavior Analyst Past Accepting new patients
Golden Care Therapy Indiana LLC Behavior Analyst Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: lhilton494575@direct.hfhs.org

Organizations & group practices 3

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1255779476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 HANOVER RD",
            "city": "HANOVER",
            "state": "MI",
            "postal_code": "492419780",
            "telephone_number": "616-304-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 HANOVER RD",
            "city": "HANOVER",
            "state": "MI",
            "postal_code": "492419780",
            "telephone_number": "616-304-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCHER",
        "first_name": "LAURA",
        "middle_name": "COURTNEY",
        "credential": "BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1107356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.