Organization Active NPI

Calissa'S Counseling Services, LLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1487162178
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALISSA'S COUNSELING SERVICES, LLC
Practice address
1914 J N Pease PL
Charlotte, NC 28262-4504
Phone
(860) 778-5317
Fax
(860) 955-4453
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mrs. Calissa Nicole Welch, LCSWNPI 1720473234
Title
Clinical Director/Owner
Phone
(860) 778-5317

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1914 J N Pease PL
Charlotte, NC 28262-4504

Mailing address

1456 Ardmore Dr
Sherrills Ford, NC 28673-8256
Phone (860) 778-5317

Other practice location 1

2550 Main St
Hartford, CT 06120-1936
Phone (860) 778-5317

Other practice location 2

3580 Main St Bldg 11
Hartford, CT 06120-1121
Phone (860) 778-5317

Other practice location 3

12141 Old Dulin Farms Way
Charlotte, NC 28215-5208
Phone (860) 778-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627000522 CT Part B Supplier - Clinic/Group Practice 4385990779 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

3580 Main St
Bldg 11
Hartford, CT 06120
Phone (860) 778-5317

3580 Main St
Ste E
Hartford, CT 06120
Phone (860) 778-5317

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1487162178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 ARDMORE DR",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286738256",
            "telephone_number": "860-778-5317",
            "fax_number": "860-955-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "860-778-5317",
            "fax_number": "860-955-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061201936",
            "country_code": "US",
            "telephone_number": "860-778-5317",
            "fax_number": "860-955-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Main St Bldg 11",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061201121",
            "country_code": "US",
            "telephone_number": "860-778-5317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12141 Old Dulin Farms Way",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282155208",
            "country_code": "US",
            "telephone_number": "860-778-5317",
            "fax_number": "860-955-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALISSA'S COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CALISSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "860-778-5317",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.