Individual provider Active NPI

Lauren Beth Welter

  • Counseling Psychologist
  • Coralville, IA
National Provider Identifier
1962884445
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
079523 Issued in IA
Practice address
2771 Oakdale Blvd Ste 6
Coralville, IA 52241-9747
Phone
(319) 595-2699
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Counseling Psychologist 103TC1900X 079523 IA Primary

Addresses

Primary practice location

2771 Oakdale Blvd Ste 6
Coralville, IA 52241-9747

Mailing address

2771 Oakdale Blvd Ste 6
Coralville, IA 52241-9747
Phone (319) 595-2699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20161003000336 IA Practitioner - Clinical Psychologist 5395032528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prairie Home Wellness and CounselingGroup PAC ID 0143589994, 3 clinicians

Practice addresses (Care Compare)

218 W 1St St
Suite a
Monticello, IA 52310-1405
Phone (319) 975-8705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079523IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Home Wellness and Counseling CurrentSince Feb 1, 2018 Accepting new patients

Locations

218 W 1st St
Ste A
Monticello, IA 52310
Phone (319) 820-2763

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1962884445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 6",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-595-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 6",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-595-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTER",
        "first_name": "LAUREN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "079523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.