Individual provider Active NPI

Chad Thomas Welch

  • Professional Counselor
  • Swansea, IL
National Provider Identifier
1861869620
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010931 Issued in IL
Practice address
4509 N Illinois St Ste 5
Swansea, IL 62226-1524
Phone
(314) 884-1947
Fax
(314) 408-2355
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.011128 IL
Professional Counselor 101YP2500X 180010931 IL Primary

Addresses

Primary practice location

4509 N Illinois St Ste 5
Swansea, IL 62226-1524

Mailing address

4254 Bassen Dr
Swansea, IL 62226-7910
Phone (618) 558-0671

Other practice location 1

785 Wall St
O Fallon, IL 62269-1959
Phone (618) 558-0671

Other names 1

  • Mr. Chad Thomas Welch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240410000071 IL Practitioner - Mental Health Counselor 0941648992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4509 N Illinois St
Suite 5
Swansea, IL 62226-1524
Phone (314) 884-1947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.011128ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chad Welch LLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

4509 N Illinois St
Ste 5
Swansea, IL 62226
Phone (314) 884-1947

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1861869620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 BASSEN DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267910",
            "telephone_number": "618-558-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 N ILLINOIS ST STE 5",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261524",
            "telephone_number": "314-884-1947",
            "fax_number": "314-408-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Wall St",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691959",
            "country_code": "US",
            "telephone_number": "618-558-0671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CHAD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011128",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "WELCH",
            "middle_name": "THOMAS",
            "prefix": "MR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.