Active NPI
Carl Daniel Welder, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1962698316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61035
- Practice address
- 1717 W 6TH St Ste 234
Austin, TX 78703-4776 - Phone
- (512) 870-7988
- Fax
- (512) 707-7778
- NPI assigned
- Sep 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61035 | TX | Primary |
Addresses
Primary practice location
1717 W 6TH St Ste 234
Austin, TX 78703-4776
Mailing address
1015 Reagan Ter # a
Austin, TX 78704-2634
Phone (512) 870-7988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61035 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1962698316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 REAGAN TER # A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042634",
"telephone_number": "512-870-7988",
"fax_number": "512-707-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W 6TH ST STE 234",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034776",
"telephone_number": "512-870-7988",
"fax_number": "512-707-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDER",
"first_name": "CARL",
"middle_name": "DANIEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.