Evan James Welty, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

178058 Issued in OH

Practice address

204 2ND St NE
New Philadelphia, OH 44663-2808

Phone

(234) 801-2469

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellmore Centre LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Philadelphia, OH
  • NPI 1487150470
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1689342032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632808",
            "telephone_number": "234-801-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632808",
            "telephone_number": "234-801-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "EVAN",
        "middle_name": "JAMES",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "178058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ray Weininger, D.D.S.
• Nicholas Weininger, DDS
• Wellmore Centre LLC
• Wellmore Centre LLC
• Ryann Wells, FNP
• Mark Andrew Welty, LPCC-S
• Karen Wendling, LPCC, IMFT
• Anthony Ryan West, CCMA
• Taylor West, RN
• Joel Robert Westberg, MS,RD,LD

• Addiction (Substance Use Disorder) Counselor in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.