Individual provider Active NPI

Diana Allen Welsh, LPC

  • Professional Counselor
  • Hillsdale, MI
National Provider Identifier
1710631692
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005260 Issued in MI
Practice address
3200 W Carleton Rd
Hillsdale, MI 49242-9458
Phone
(330) 714-3733
Fax
(517) 437-0033
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005260 MI Primary

Addresses

Primary practice location

3200 W Carleton Rd
Hillsdale, MI 49242-9458

Mailing address

2194 As Te Wette Beach Drive
Hillsdale, MI 49242
Phone (330) 714-3733

Other names 1

  • Diana A. Fox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122001922 MI Practitioner - Mental Health Counselor 0143672501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson-Hillsdale Community Mental Health BoardGroup PAC ID 6406808062, 27 clinicians

Practice addresses (Care Compare)

3200 W Carleton Rd
Hillsdale, MI 49242-9458
Phone (517) 437-0117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 1, 2024 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 1, 2024 Accepting new patients
Segue Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3200 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-0114

1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1710631692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 AS TE WETTE BEACH DRIVE",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242",
            "telephone_number": "330-714-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "330-714-3733",
            "fax_number": "517-437-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "DIANA",
        "middle_name": "ALLEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "FOX",
            "middle_name": "A.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.