Jennifer Welvaert-Koch, MS.ED, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010882 Issued in IL

Practice address

4703 44TH St
Rock Island, IL 61201-7189

Phone

(309) 788-9581

Fax

(309) 786-3856

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Charities Dop

  • Community/Behavioral Health Agency
  • Rock Island, IL
  • NPI 1073699914
  NPD (past)
• The Center for Youth and Family Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1699040451
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1326571522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 44TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017189",
            "telephone_number": "309-788-9581",
            "fax_number": "309-786-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 44TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017189",
            "telephone_number": "309-788-9581",
            "fax_number": "309-786-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELVAERT-KOCH",
        "first_name": "JENNIFER",
        "credential": "MS.ED, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Wassenhove, MA
• Kelly Miranda Waters
• Steffanie Lynn Watson, BSW
• Christina L Watters, M.S, R.D.
• Sarah Weinert, MME, MT-BC
• Eric Bryan West
• Heather Marie West
• Penny Jo West
• Joe Lee Westerhof, DVM
• Naomi S Whalen, M.D.

• Professional Counselor in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.