Active NPI
Andrea Welling, NCC, BC-DMT, CMHC
- Mental Health Counselor
- Layton, UT
National Provider Identifier
1689070625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8939807-6004
- Practice address
- 534 W Gentile St
Layton, UT 84041-3041 - Phone
- (801) 814-4916
- NPI assigned
- Nov 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8939807-6004 | UT | Primary |
Addresses
Primary practice location
534 W Gentile St
Layton, UT 84041-3041
Mailing address
534 W Gentile St
Layton, UT 84041-3041
Phone (801) 814-4916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 4, 2024 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8939807-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1689070625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 W GENTILE ST",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413041",
"telephone_number": "801-814-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 W GENTILE ST",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413041",
"telephone_number": "801-814-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLING",
"first_name": "ANDREA",
"credential": "NCC, BC-DMT, CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2024-05-29",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8939807-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.