Individual provider Active NPI

Mark Andrew Welty, LPCC-S

  • Professional Counselor
  • New Philadelphia, OH
National Provider Identifier
1942320858
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0001965 Issued in OH
Practice address
204 2ND St NE
New Philadelphia, OH 44663-2808
Phone
(234) 801-2469
Fax
(330) 364-9212
NPI assigned
Apr 2, 2007
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E-0001965 OH
Mental Health Counselor 101YM0800X E-0001965 OH
Professional Counselor 101YP2500X E-0001965 OH Primary

Addresses

Primary practice location

204 2ND St NE
New Philadelphia, OH 44663-2808

Mailing address

PO Box 670
Zoar, OH 44697-0670
Phone (330) 704-6998

Other identifiers 1

IdentifierTypeStateIssuer
0156240MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240410003038 OH Practitioner - Mental Health Counselor 9032516851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmore Centre LLCGroup PAC ID 9234536046, 2 clinicians

Practice addresses (Care Compare)

204 2ND St NE
New Philadelphia, OH 44663-2808
Phone (234) 801-2469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E-0001965OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmore Centre LLC Current Accepting new patients
Wellmore Centre LLC CurrentSince Jul 6, 2021 Accepting new patients

Locations

204 2nd St NE
New Philadelphia, OH 44663
Phone (234) 801-2369

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1942320858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ZOAR",
            "state": "OH",
            "postal_code": "446970670",
            "telephone_number": "330-704-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632808",
            "telephone_number": "234-801-2469",
            "fax_number": "330-364-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E-0001965",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0001965",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0001965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.