Active NPI
Johnnie M Welch, LPC (MHSP), LMFT,
- Mental Health Counselor
- Dyersburg, TN
National Provider Identifier
1922238682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 839
- Practice address
- 330 Tate Rd
Dyersburg, TN 38024-8812 - Phone
- (731) 287-9008
- NPI assigned
- Jul 15, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 337 | TN | |
| Mental Health Counselor | 101YM0800X | 20067 | NC | |
| Mental Health Counselor | 101YM0800X | 839 | TN | Primary |
| Professional Counselor | 101YP2500X | 839 | TN |
Addresses
Primary practice location
330 Tate Rd
Dyersburg, TN 38024-8812
Mailing address
PO Box 1506
Dyersburg, TN 38025-1506
Phone (731) 287-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| 337 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146
8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739
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": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1922238682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380251506",
"telephone_number": "731-287-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 TATE RD",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380248812",
"telephone_number": "731-287-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JOHNNIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LPC (MHSP), LMFT,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "337",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "20067",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "839",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.