Individual provider Active NPI

Camilla J Welsch, MA, LPC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1740970243
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2406444 Issued in OH
Practice address
3681 Green Rd Ste 404
Beachwood, OH 44122-5716
Phone
(216) 350-7242
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2406444 OH Primary

Addresses

Primary practice location

3681 Green Rd Ste 404
Beachwood, OH 44122-5716

Mailing address

22001 Fairmount Blvd
Shaker HTS, OH 44118-4819
Phone (216) 320-6447

Other practice location 1

22001 Fairmount Blvd
Shaker Hts, OH 44118-4819
Phone (216) 320-6447

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2406444OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Health Care, LLC Mental Health PastSince May 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1740970243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441184819",
            "telephone_number": "216-320-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-350-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Shaker Hts",
            "state": "OH",
            "postal_code": "441184819",
            "country_code": "US",
            "telephone_number": "216-320-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSCH",
        "first_name": "CAMILLA",
        "middle_name": "J",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.