Organization Active NPI

Tina D. Weldy, Mental Health Counseling

  • Counselor
  • Goshen, IN
National Provider Identifier
1346559242
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39001883A Issued in IN
Legal business name
TINA D. WELDY, MENTAL HEALTH COUNSELING
Practice address
58308 Andrew Dr
Goshen, IN 46528-8663
Phone
(574) 536-7580
Fax
(574) 534-8462
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Ms. Tina D. Weldy, LMHCNPI 1265563050
Title
Owner/Therapist
Phone
(574) 536-7580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 39001883A IN Primary

Addresses

Primary practice location

58308 Andrew Dr
Goshen, IN 46528-8663

Mailing address

58308 Andrew Dr
Goshen, IN 46528-8663
Phone (574) 536-7580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1346559242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58308 ANDREW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465288663",
            "telephone_number": "574-536-7580",
            "fax_number": "574-534-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58308 ANDREW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465288663",
            "telephone_number": "574-536-7580",
            "fax_number": "574-534-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA D. WELDY, MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "WELDY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "574-536-7580",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39001883A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.