Active NPI
Chad Thomas Welch
- Professional Counselor
- Swansea, IL
National Provider Identifier
1861869620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180010931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011128 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chad Welch LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.