Individual provider Active NPI

Karen J Welsh, LCPC

  • Mental Health Counselor
  • Libertyville, IL
National Provider Identifier
1346367786
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180004631 Issued in IL
Practice address
1590 S Milwaukee Ave
Suite 213
Libertyville, IL 60048-3793
Phone
(847) 212-6797
Fax
(847) 316-9809
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180004631 IL Primary

Addresses

Primary practice location

1590 S Milwaukee Ave
Suite 213
Libertyville, IL 60048-3793

Mailing address

1590 S Milwaukee Ave
Suite 213
Libertyville, IL 60048-3793
Phone (847) 212-6797

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
180004631ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1346367786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 213",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483793",
            "telephone_number": "847-212-6797",
            "fax_number": "847-316-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 213",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483793",
            "telephone_number": "847-212-6797",
            "fax_number": "847-316-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.