Evolve Mental Wellness - Medicare Mental Health Clinic in Salisbury, MD

Evolve Mental Wellness is a medicare enrolled mental health clinic (Counselor - Mental Health) in Salisbury, Maryland. The current practice location for Evolve Mental Wellness is 1411 Wesley Dr, Salisbury, Maryland. For appointments, you can reach them via phone at (410) 642-4011. The mailing address for Evolve Mental Wellness is 1411 Wesley Dr, Salisbury, Maryland and phone number is (410) 642-4011.

Evolve Mental Wellness is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912597857. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 642-4011.

Contact Information

Evolve Mental Wellness
1411 Wesley Dr
Salisbury
MD 21801-7149
(410) 642-4011
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameEvolve Mental Wellness
SpecialityCounselor
Location1411 Wesley Dr, Salisbury, Maryland
Authorized Official Name and PositionValerie Anderson (OWNER)
Authorized Official Contact4106424011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evolve Mental Wellness
1411 Wesley Dr
Salisbury
MD 21801-7149

Ph: (410) 642-4011
Evolve Mental Wellness
1411 Wesley Dr
Salisbury
MD 21801-7149

Ph: (410) 642-4011

NPI Details:

NPI Number1912597857
Provider Enumeration Date01/25/2021
Last Update Date04/09/2024
Certification Date04/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6608266846
Medicare Enrollment IDO20211202001909

Medical Identifiers

Medical identifiers for Evolve Mental Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912597857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
101YP2500XCounselor - Professional (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evolve Mental Wellness acts as a billing entity for following providers:
Provider NameCarla D Eichenmiller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841360310
PECOS PAC ID: 1153377692
Enrollment ID: I20050328000588
Provider NameManjula P Borge
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972685840
PECOS PAC ID: 8921007279
Enrollment ID: I20080822000160
Provider NameSandra A Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245586122
PECOS PAC ID: 1557511060
Enrollment ID: I20121018000312
Provider NameKristen Lynn Gordy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811332307
PECOS PAC ID: 5799912234
Enrollment ID: I20131209000943
Provider NameWendy L Holder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124115811
PECOS PAC ID: 5496724254
Enrollment ID: I20131213000216
Provider NameValerie W Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639467335
PECOS PAC ID: 5294951307
Enrollment ID: I20140725002071
Provider NameJason H Sammons
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396023248
PECOS PAC ID: 0840418778
Enrollment ID: I20140905001521
Provider NameAmy Nicholson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306257316
PECOS PAC ID: 2567680457
Enrollment ID: I20140908000928
Provider NameJennifer L Youdom
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427482942
PECOS PAC ID: 9830482983
Enrollment ID: I20160727000220
Provider NameRani M George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225562937
PECOS PAC ID: 7618245051
Enrollment ID: I20170608000115
Provider NameKristin L Hearne
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457825671
PECOS PAC ID: 5698014785
Enrollment ID: I20190307001661
Provider NameAmy E Searcey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174975312
PECOS PAC ID: 6608100367
Enrollment ID: I20190628002572
Provider NameMary B Brinsfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164067476
PECOS PAC ID: 1557796190
Enrollment ID: I20200108002962
Provider NameAmanda Marie Frey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851890479
PECOS PAC ID: 2062817158
Enrollment ID: I20210827001641
Provider NameE. Jane Vickers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336804384
PECOS PAC ID: 1658763826
Enrollment ID: I20220120000297
Provider NameCourtney Aley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356094585
PECOS PAC ID: 0648665687
Enrollment ID: I20220309003073
Provider NameKaitlyn Nicole Cook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881171510
PECOS PAC ID: 3274929807
Enrollment ID: I20220408000263
Provider NameJannia Marie Mitchell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720544406
PECOS PAC ID: 5890178677
Enrollment ID: I20220810003924
Provider NameCeleste J Welch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821664467
PECOS PAC ID: 5496122178
Enrollment ID: I20221109002178
Provider NameKaren Ashley Walls
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962033167
PECOS PAC ID: 9234501628
Enrollment ID: I20230213001248
Provider NameAmanda Eberly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083151823
PECOS PAC ID: 3173977261
Enrollment ID: I20230922002025
Provider NameAshley Toulson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194591396
PECOS PAC ID: 6507216660
Enrollment ID: I20240102002331

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.