Individual provider Active NPI

Dina Welsh, PTA

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1467666057
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1906069 Issued in AR
Practice address
3680 N Investment Dr Ste 1
Fayetteville, AR 72703-5458
Phone
(479) 435-9356
Fax
(479) 332-4932
NPI assigned
May 10, 2007
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 A1906069 AR Primary
Physical Therapy Assistant 225200000X PTA 1899 AR

Addresses

Primary practice location

3680 N Investment Dr Ste 1
Fayetteville, AR 72703-5458

Mailing address

3275 Thornbury Dr
Springdale, AR 72764-1122
Phone (479) 283-7126

Other practice location 1

2105 S 54th St Ste 2
Rogers, AR 72758-8191
Phone (479) 268-4557

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thejoshuacenter.com Direct

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
A1906069ARMDMental Health Counselor
PTA 1899ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gretta Meeker Counseling Inc Past Accepting new patients

Organizations & group practices 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1467666057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 THORNBURY DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641122",
            "telephone_number": "479-283-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 N INVESTMENT DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035458",
            "telephone_number": "479-435-9356",
            "fax_number": "479-332-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 S 54th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588191",
            "country_code": "US",
            "telephone_number": "479-268-4557",
            "fax_number": "479-268-4723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSH",
        "first_name": "DINA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1906069",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 1899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thejoshuacenter.com",
            "affiliation": "N",
            "endpointDescription": "website url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3680 N Investment Dr Ste 1",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727035458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.