Active NPI
Jeffrey Aaron Welch, LMFT
- Marriage & Family Therapist
- Westlake Village, CA
National Provider Identifier
1619620796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130400
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 130400 | CA | MD | Marriage & 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
- Melinda Sue Weilage, OTR/L
- Marsha Kay Weinstein, L.C.S.W.
- James S Weintraub, MD
- Diane Michelle Weiss, L, AC DIPL. O.M.
- Ellen Khamistos Weissman, PSY.D.
- Allison Welsh, LCSW
- Zhihong Wen, D.D.S.
- West Coast Nursing Ventura, Inc.
- West County Diagnostic Associates, a Professional Corporation
- Kory David West, D.D.S.
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.