Active NPI
Kelly Welch Joyce, LCMHC
- Mental Health Counselor
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12752
- Practice address
- 1336 Westgate Center Dr
Winston Salem, NC 27103-2933 - Phone
- (336) 422-6288
- Fax
- (844) 440-2408
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12752 | NC | Primary |
Addresses
Primary practice location
1336 Westgate Center Dr
Winston Salem, NC 27103-2933
Mailing address
809 Smoke Tree Cir
Lewisville, NC 27023-8609
Phone (704) 491-5360
Other practice location 1
216 N Bickett Blvd Ste 7
Louisburg, NC 27549-2473
Phone (919) 729-0127
Other practice location 2
1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (336) 722-7266
Other practice location 3
104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone (336) 893-4520
Other names 1
- Kelly Marie Welch
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12752 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Treatment Center, PLLC | Current | Accepting new patients | |
| Wellmood PLLC | Past | Accepting new patients |
Locations
104 Cambridge Plaza Dr
Winston Salem, NC 27104
Phone (336) 831-3738
1615 Polo Rd
Winston Salem, NC 27106
Phone 33672272662304
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1285867952
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1154182368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1598213993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SMOKE TREE CIR",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238609",
"telephone_number": "704-491-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 WESTGATE CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032933",
"telephone_number": "336-422-6288",
"fax_number": "844-440-2408"
}
],
"practiceLocations": [
{
"address_1": "216 N Bickett Blvd Ste 7",
"address_purpose": "LOCATION",
"city": "Louisburg",
"state": "NC",
"postal_code": "275492473",
"country_code": "US",
"telephone_number": "919-729-0127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1615 Polo Rd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063831",
"country_code": "US",
"telephone_number": "336-722-7266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Cambridge Plaza Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271043556",
"country_code": "US",
"telephone_number": "336-893-4520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOYCE",
"first_name": "KELLY",
"middle_name": "WELCH",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "WELCH",
"middle_name": "MARIE",
"credential": "LCMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.