Individual provider Active NPI

Carolyn Jean Welker, L.P.C.C.-S

  • Mental Health Counselor
  • Mentor, OH
National Provider Identifier
1538131925
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E3539-SUPV Issued in OH
Practice address
8351 Mentor Ave
Mentor, OH 44060-5749
Phone
(216) 839-2273
Fax
(216) 896-0735
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 E3539-SUPV OH Primary

Addresses

Primary practice location

8351 Mentor Ave
Mentor, OH 44060-5749

Mailing address

PO Box 24242
Cleveland, OH 44124-0242
Phone (216) 839-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240129002704 OH Practitioner - Mental Health Counselor 1557714383 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3539-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Team Counseling LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Soundmind LLC Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1538131925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24242",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441240242",
            "telephone_number": "216-839-2273",
            "fax_number": "216-896-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605749",
            "telephone_number": "216-839-2273",
            "fax_number": "216-896-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.C.-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3539-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.