Individual provider Active NPI

Kelly Welch Joyce, LCMHC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1598213993
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12752 Issued in NC
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

Updated by the provider on Jan 24, 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 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 Former name

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

LicenseStateTypeSpecialty
12752NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mood Treatment Center, PLLC CurrentSince Jun 1, 2013 Accepting new patients
Wellmood PLLC PastSince Jan 1, 2024 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.

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.

Verify at the official NPI Registry.