Individual provider Active NPI

Jeffrey Aaron Welch, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1619620796
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130400 Issued in CA
Practice address
5743 Corsa Ave
Westlake Village, CA 91362-4027
Phone
(805) 807-3464
NPI assigned
Jan 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130400 CA Primary

Addresses

Primary practice location

5743 Corsa Ave
Westlake Village, CA 91362-4027

Mailing address

2754 Autumn Ridge Dr
Thousand Oaks, CA 91362-4946

Other practice location 1

2754 Autumn Ridge Dr
Thousand Oaks, CA 91362-4946
Phone (805) 807-3464

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
130400CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1619620796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 AUTUMN RIDGE DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "805-807-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2754 Autumn Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913624946",
            "country_code": "US",
            "telephone_number": "805-807-3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JEFFREY",
        "middle_name": "AARON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.