| Mental Health Specialty Group Pa | |
|
4445 Willard Ave Ste 600 Chevy Chase MD 20815-3786 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Mental Health Specialty Group Pa |
|---|---|
| Speciality | Counselor |
| Location | 4445 Willard Ave Ste 600, Chevy Chase, Maryland |
| Authorized Official Name and Position | Josh Bruno (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialty Group Pa Po Box 746878 Atlanta GA 30374-6878 Ph: (323) 205-7088 | Mental Health Specialty Group Pa 4445 Willard Ave Ste 600 Chevy Chase MD 20815-3786 Ph: (323) 205-7088 |
| NPI Number | 1801472634 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 07/30/2025 |
| Certification Date | 07/30/2025 |
| Medicare PECOS PAC ID | 8921466228 |
|---|---|
| Medicare Enrollment ID | O20230619001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801472634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marcella E Fulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568645802 PECOS PAC ID: 9436231248 Enrollment ID: I20080201000339 |
| Provider Name | Emily Anne Hrabovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740634831 PECOS PAC ID: 6800149030 Enrollment ID: I20181105002166 |
| Provider Name | Michael Wesley Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710239876 PECOS PAC ID: 5092933671 Enrollment ID: I20200804003399 |
| Provider Name | Daljis B Ojeda-garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063029155 PECOS PAC ID: 2567882236 Enrollment ID: I20201019001222 |
| Provider Name | Paula Subadan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225678477 PECOS PAC ID: 2567899230 Enrollment ID: I20210317000917 |
| Provider Name | Westly M Francois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629443932 PECOS PAC ID: 1456629229 Enrollment ID: I20210923000809 |
| Provider Name | Jennifer D Paveglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548838600 PECOS PAC ID: 4688067887 Enrollment ID: I20220211000269 |
| Provider Name | Elizabeth Rose Banerjee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508526765 PECOS PAC ID: 1759765753 Enrollment ID: I20220824003352 |
| Provider Name | Kathleen Ryan Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669259198 PECOS PAC ID: 8022464429 Enrollment ID: I20231020001801 |
| Provider Name | Essence Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780270058 PECOS PAC ID: 6204286230 Enrollment ID: I20240103001042 |
| Provider Name | Alyssa Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407543812 PECOS PAC ID: 0042663015 Enrollment ID: I20240125002564 |
| Provider Name | Cassandra Latasha Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376924514 PECOS PAC ID: 2264970177 Enrollment ID: I20240809002684 |
| Provider Name | Colleen J Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497519847 PECOS PAC ID: 0547708182 Enrollment ID: I20240814003392 |
| Provider Name | Chanda R Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376307348 PECOS PAC ID: 1254865686 Enrollment ID: I20241107003607 |
| Provider Name | Clarissa Alexandra Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437696762 PECOS PAC ID: 3375072770 Enrollment ID: I20250130001605 |
| Provider Name | Laura Tennille Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427702299 PECOS PAC ID: 8224567458 Enrollment ID: I20250131003433 |
| Provider Name | Kesha Y Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972015394 PECOS PAC ID: 2365971504 Enrollment ID: I20250201000144 |
| Provider Name | Sandra Martinaitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174196760 PECOS PAC ID: 2668902834 Enrollment ID: I20250204001924 |
| Provider Name | Jocelyn Claire Evans-shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710529250 PECOS PAC ID: 4587194675 Enrollment ID: I20250204003202 |
| Provider Name | Carol Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053998666 PECOS PAC ID: 1951831924 Enrollment ID: I20250205002832 |
| Provider Name | Armeshae Menae Ugbome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596341 PECOS PAC ID: 9739507021 Enrollment ID: I20250206000611 |
| Provider Name | Patricia Ann Calloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558484824 PECOS PAC ID: 0042740078 Enrollment ID: I20250206000818 |
| Provider Name | Susan Alice Ristau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881853026 PECOS PAC ID: 1456881150 Enrollment ID: I20250211001572 |
| Provider Name | Adrian Simone Gaither |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750854709 PECOS PAC ID: 2860922200 Enrollment ID: I20250213003466 |
| Provider Name | Deeann Unsworth Clarington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508683947 PECOS PAC ID: 9335679729 Enrollment ID: I20250214001113 |
| Provider Name | Sharika D Gardner Spates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912656885 PECOS PAC ID: 6406386804 Enrollment ID: I20250214001711 |
| Provider Name | Sheila Kendrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720626120 PECOS PAC ID: 6901336213 Enrollment ID: I20250214002394 |
| Provider Name | Janet Elaine Pace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295129963 PECOS PAC ID: 4385174671 Enrollment ID: I20250217001684 |
| Provider Name | Bathsheba C Cherry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407107543 PECOS PAC ID: 4284154576 Enrollment ID: I20250217002145 |
| Provider Name | Danisha Denise Debise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538984976 PECOS PAC ID: 7012437361 Enrollment ID: I20250218000758 |
| Provider Name | Latricia Vernita Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104641851 PECOS PAC ID: 6709306061 Enrollment ID: I20250218001216 |
| Provider Name | Darryl G Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144562877 PECOS PAC ID: 3274053434 Enrollment ID: I20250219001195 |
| Provider Name | Beth A Smaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790973238 PECOS PAC ID: 6305366725 Enrollment ID: I20250227003631 |
| Provider Name | Melissa D Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093539439 PECOS PAC ID: 1759802192 Enrollment ID: I20250303000397 |
| Provider Name | Chacana Gaulden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063134682 PECOS PAC ID: 4385166628 Enrollment ID: I20250317002000 |
| Provider Name | Amber Jean Mcentire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356804231 PECOS PAC ID: 6901320928 Enrollment ID: I20250410002760 |
| Provider Name | Victoria Ashley Esnault-brewer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427772243 PECOS PAC ID: 2163948704 Enrollment ID: I20250428002011 |
| Provider Name | Sherry Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659953362 PECOS PAC ID: 2062800139 Enrollment ID: I20250429002896 |
| Provider Name | Dezirae Hatchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578219077 PECOS PAC ID: 1254858764 Enrollment ID: I20250508000821 |
| Provider Name | Katina Pittman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588395594 PECOS PAC ID: 8628597838 Enrollment ID: I20250521001143 |
| Provider Name | Joyelle Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346696465 PECOS PAC ID: 9638698285 Enrollment ID: I20250527002988 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306463864 PECOS PAC ID: 2567971732 Enrollment ID: I20250530002605 |
| Provider Name | Marcella Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871154922 PECOS PAC ID: 5395071138 Enrollment ID: I20250602000884 |
| Provider Name | Dana Atwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184344475 PECOS PAC ID: 0749799526 Enrollment ID: I20250603002049 |
| Provider Name | Cheryl Sims-coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356534333 PECOS PAC ID: 2264526722 Enrollment ID: I20250603003693 |
| Provider Name | Mallory Skelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760257695 PECOS PAC ID: 2163931544 Enrollment ID: I20250605002096 |
| Provider Name | Sylvia Krow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316382948 PECOS PAC ID: 6608386008 Enrollment ID: I20250605002660 |
| Provider Name | Chestina Maravia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891143509 PECOS PAC ID: 9739699943 Enrollment ID: I20250606002838 |
| Provider Name | Keisha N Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205523065 PECOS PAC ID: 4183134133 Enrollment ID: I20250609002318 |
| Provider Name | Tina Chinwenwa Ezeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740996222 PECOS PAC ID: 1456711423 Enrollment ID: I20250610004245 |
| Provider Name | Rebecca Gay Baldwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013141027 PECOS PAC ID: 3870003460 Enrollment ID: I20250611004250 |
| Provider Name | Ivy Delorse Dey-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194051490 PECOS PAC ID: 5395922124 Enrollment ID: I20250612000892 |
The Capital Region Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3414 Manor Rd, Chevy Chase, MD 20815 Phone: 202-486-4409 | |
Monika Rukus, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Connecticut Ave, Chevy Chase, MD 20815 Phone: 301-986-9999 | |
Leonardtown Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Wisconsin Cir Ste 210, Chevy Chase, MD 20815 Phone: 301-363-4740 Fax: 301-363-4740 | |
Dimensions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5480 Wisconsin Ave, 215b, Chevy Chase, MD 20815 Phone: 877-367-8479 | |
Therapy Of Greater Washington Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5480 Wisconsin Ave, Chevy Chase, MD 20815 Phone: 301-807-3416 | |
Laurie Paul Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5530 Wisconsin Ave Ste 855, Chevy Chase, MD 20815 Phone: 301-963-6940 | |
Medstar Medical Group Ii Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5454 Wisconsin Ave, Chevy Chase, MD 20815 Phone: 301-986-4745 |