Dana Thomas Welch, LPC

Individual provider Active NPI Professional Counselor · Williamson, GA

NPI 1962243147 · NPPES record last updated Jun 3, 2024

Key facts

NPI
1962243147
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
431 Lufbery Cir
Williamson, GA 30292-3423
Phone
(770) 315-7459
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Hope Counseling, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

431 Lufbery Cir
Williamson, GA 30292-3423

Mailing address

376 Watering Hole Dr
Williamson, GA 30292-6837

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2024.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1962243147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WATERING HOLE DR",
            "city": "WILLIAMSON",
            "state": "GA",
            "postal_code": "302926837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LUFBERY CIR",
            "city": "WILLIAMSON",
            "state": "GA",
            "postal_code": "302923423",
            "telephone_number": "770-315-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DANA",
        "middle_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, GA

All providers in Williamson, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.