Active NPI
Teresa J Welch, MED, PSYCHOLOGIST
- Counseling Psychologist
- Bellefonte, PA
National Provider Identifier
1598721920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS-008078
- Practice address
- 965 Green St
Bellefonte, PA 16823-2803 - Phone
- (814) 357-7755
- Fax
- (678) 882-3119
- NPI assigned
- Apr 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Counseling Psychologist | 103TC1900X | PS-008078 | PA | Primary |
Addresses
Primary practice location
965 Green St
Bellefonte, PA 16823-2803
Mailing address
965 Green St
Bellefonte, PA 16823-2803
Phone (814) 357-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821000102 | PA | Practitioner - Psychologist Billing Independently | 5294273611 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-008078 | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1598721920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 GREEN ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232803",
"telephone_number": "814-357-7755",
"fax_number": "678-882-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 GREEN ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232803",
"telephone_number": "814-357-7755",
"fax_number": "678-882-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "TERESA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MED, PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS-008078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.