Wellmore Centre LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WELLMORE CENTRE LLC

Practice address

204 2ND St NE
New Philadelphia, OH 44663-2808

Phone

(234) 801-2469

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Mark Andrew WeltyNPI 1942320858

Title

Executive Director

Phone

(330) 704-6998

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wellmore Centre LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Philadelphia, OH
  • NPI 1669940870

  O20210921003583

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Andrew Welty, LPCC-S

  • Professional Counselor
  • New Philadelphia, OH
  • NPI 1942320858
  Medicare reassignment Care Compare group NPD Authorized official
• Robert E Draman, LPCC

  • Mental Health Counselor
  • New Philadelphia, OH
  • NPI 1902093149
  Medicare reassignment Care Compare group NPD
• Bradley Alan Bahl, LCDCIII

  • Addiction (Substance Use Disorder) Counselor
  • Wooster, OH
  • NPI 1588172373
  NPD
• Nanette E Davenport Roberson, LISW

  • Clinical Social Worker
  • Dover, OH
  • NPI 1730395138
  NPD
• Evan James Welty, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • New Philadelphia, OH
  • NPI 1689342032
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1487150470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632808",
            "telephone_number": "234-801-2469",
            "fax_number": "330-364-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632808",
            "telephone_number": "234-801-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMORE CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WELTY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-704-6998"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrina Jo Walton, COTA
• Tracey Elaine Ward
• Cameron Mark Warner, PHARMD
• Daniel Ray Weininger, D.D.S.
• Nicholas Weininger, DDS
• Wellmore Centre LLC
• Ryann Wells, FNP
• Evan James Welty, CDCA
• Mark Andrew Welty, LPCC-S
• Karen Wendling, LPCC, IMFT

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.