Active NPI
Thomas M Welsh, PH.D.
- Counseling Psychologist
- Petal, MS
National Provider Identifier
1922112671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 36-603
- Practice address
- 206 W Central Ave
Petal, MS 39465-2016 - Phone
- (504) 450-5580
- Fax
- (504) 309-6869
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 881 | LA | |
| Counseling Psychologist | 103TC1900X | 36-603 | MS | Primary |
Addresses
Primary practice location
206 W Central Ave
Petal, MS 39465-2016
Mailing address
4190 Dumaine St
New Orleans, LA 70119-3748
Phone (504) 450-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1166634 | Medicaid | LA |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 36-603 | MS | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1922112671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 DUMAINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701193748",
"telephone_number": "504-450-5580",
"fax_number": "504-309-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W CENTRAL AVE",
"city": "PETAL",
"state": "MS",
"postal_code": "394652016",
"telephone_number": "504-450-5580",
"fax_number": "504-309-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "THOMAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "LA",
"license": "881",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MS",
"license": "36-603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1166634",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petal, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.