Individual provider Active NPI

Joseph Welch, M.DIV., MMFT

  • Marriage & Family Therapist
  • Fairview, TN
National Provider Identifier
1639415656
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
985 Issued in TN
Practice address
7117 Cox Pike
Suite 103
Fairview, TN 37062-9212
Phone
(615) 266-2367
NPI assigned
Dec 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 985 TN Primary

Addresses

Primary practice location

7117 Cox Pike
Suite 103
Fairview, TN 37062-9212

Mailing address

7117 Cox Pike
Suite 103
Fairview, TN 37062-9212
Phone (615) 266-2367

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
985TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1639415656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 COX PIKE",
            "address_2": "SUITE 103",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629212",
            "telephone_number": "615-266-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 COX PIKE",
            "address_2": "SUITE 103",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629212",
            "telephone_number": "615-266-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JOSEPH",
        "credential": "M.DIV., MMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.