Individual provider Active NPI

Jennifer Welch, MHC

  • Mental Health Counselor
  • Wantagh, NY
National Provider Identifier
1477328722
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3375 Park Ave Ste 4006
Wantagh, NY 11793-3799
Phone
(516) 350-8564
Fax
(516) 874-2477
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 NY Primary

Addresses

Primary practice location

3375 Park Ave Ste 4006
Wantagh, NY 11793-3799

Mailing address

165 N Village Ave Ste 12
Rockville Centre, NY 11570-3701
Phone (516) 350-8564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260213003690 NY Practitioner - Mental Health Counselor 4486134988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Hofstra North Shore - Lij School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Psychology, P.C.Group PAC ID 1951690254, 23 clinicians

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

3375 Park Ave
Suite 4006
Wantagh, NY 11793-3799
Phone (516) 350-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017373NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychology, P.C. CurrentSince Feb 4, 2026 Accepting new patients
Psychiatric NP Services of New York PLLC PastSince Nov 19, 2023 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Phone (516) 594-2111

3375 Park Ave
Ste 2005
Wantagh, NY 11793
Phone (516) 781-1911

3375 Park Ave
Ste 4006
Wantagh, NY 11793
Phone (516) 243-7445

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1477328722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 12",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE STE 4006",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933799",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JENNIFER",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.