Individual provider Active NPI

Scott A Welch, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1457824872
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10603 Issued in FL
Practice address
13980 Lynmar Blvd
Tampa, FL 33626-3123
Phone
(813) 263-9552
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 10603 FL Primary

Addresses

Primary practice location

13980 Lynmar Blvd
Tampa, FL 33626-3123

Mailing address

548 Fern Lake Dr
Orlando, FL 32825-5031
Phone (813) 263-9552

Other practice location 1

1555 Lake Baldwin Ln
Orlando, FL 32814-6696
Phone (407) 777-5679

Other identifiers 1

IdentifierTypeStateIssuer
10603OtherFLLICENSED MENTAL HEALTH COUNSELOR

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
10603FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1457824872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 FERN LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255031",
            "telephone_number": "813-263-9552",
            "fax_number": "407-985-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 LYNMAR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263123",
            "telephone_number": "813-263-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Lake Baldwin Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146696",
            "country_code": "US",
            "telephone_number": "407-777-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "10603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.