Individual provider Active NPI

Tori K Welch

  • Professional Counselor
  • Lords Valley, PA
National Provider Identifier
1336839950
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018975 Issued in PA
Practice address
110 Hemlock Farms Rd Ste 8
Lords Valley, PA 18428-6133
Phone
(570) 290-8603
NPI assigned
May 8, 2023
Reactivated
Jul 18, 2024
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC018975 PA Primary

Addresses

Primary practice location

110 Hemlock Farms Rd Ste 8
Lords Valley, PA 18428-6133

Mailing address

110 Hemlock Farms Rd Ste 8
Lords Valley, PA 18428-6133

Other names 1

  • Tori K St John Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251103001659 PA Practitioner - Mental Health Counselor 0446749022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

209 Carpenter Rd
Factoryville, PA 18419-7929

319 Gold Key Rd
Milford, PA 18337-5039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018975PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Counseling and Wellness LLC Counselor CurrentSince Oct 22, 2025 Accepting new patients
Theracorp, LLC Counselor PastSince May 1, 2023 Accepting new patients
Theracorp, LLC PastSince May 1, 2023 Accepting new patients

Locations

320 S State St
Ste 3
Clarks Summit, PA 18411
Phone (570) 290-8603

110 Hemlock Farms Rd
Lords Valley, PA 18428
Phone (570) 290-8603

110 Hemlock Farms Rd
Ste 8
Lords Valley, PA 18428
Phone (570) 290-8603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1336839950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HEMLOCK FARMS RD STE 8",
            "city": "LORDS VALLEY",
            "state": "PA",
            "postal_code": "184286133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HEMLOCK FARMS RD STE 8",
            "city": "LORDS VALLEY",
            "state": "PA",
            "postal_code": "184286133",
            "telephone_number": "570-290-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "TORI",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "deactivation_date": "2024-04-16",
        "reactivation_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "ST JOHN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lords Valley, PA

Sources for this page

Verify at the official NPI Registry.