| Way Station, Inc. | |
|
328 N Potomac St Hagerstown MD 21740-3820 | |
| (301) 733-6063 | |
| (301) 733-6220 |
| Full Name | Way Station, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 328 N Potomac St, Hagerstown, Maryland |
| Authorized Official Name and Position | Robin Guy Elchin (DIRECTOR OF BILLING) |
| Authorized Official Contact | 3016620099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Station, Inc. Po Box 3826 Frederick MD 21705-3826 Ph: (301) 662-0099 | Way Station, Inc. 328 N Potomac St Hagerstown MD 21740-3820 Ph: (301) 733-6063 |
| NPI Number | 1124490784 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 8628064151 |
|---|---|
| Medicare Enrollment ID | O20040421001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124490784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cheryl A Zwart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922163591 PECOS PAC ID: 8123073210 Enrollment ID: I20050322000657 |
| Provider Name | Naier A Anhary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689629552 PECOS PAC ID: 8921037177 Enrollment ID: I20050808000738 |
| Provider Name | Barbara F Cephas-dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922283548 PECOS PAC ID: 5294817151 Enrollment ID: I20080130000676 |
| Provider Name | Kathryn D Karkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548441082 PECOS PAC ID: 0648340307 Enrollment ID: I20080606000331 |
| Provider Name | Supriya Narang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083689293 PECOS PAC ID: 1951334499 Enrollment ID: I20081201000029 |
| Provider Name | Betsy Ruth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134374416 PECOS PAC ID: 4789748096 Enrollment ID: I20090202000270 |
| Provider Name | Robert F Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568519189 PECOS PAC ID: 1658427463 Enrollment ID: I20090921000258 |
| Provider Name | Shamsia T Ally |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417927765 PECOS PAC ID: 9931394061 Enrollment ID: I20101115000365 |
| Provider Name | Arachchige P Muthukuda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073770616 PECOS PAC ID: 9638354608 Enrollment ID: I20110506000607 |
| Provider Name | Jessie Stephen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780845842 PECOS PAC ID: 6305006164 Enrollment ID: I20120402000333 |
| Provider Name | Tammy Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225384431 PECOS PAC ID: 8123277050 Enrollment ID: I20121009000286 |
| Provider Name | Nneka Obianuju Ezunagu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902230253 PECOS PAC ID: 5092949032 Enrollment ID: I20131008000071 |
| Provider Name | Cortina L Darden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508263666 PECOS PAC ID: 9537486360 Enrollment ID: I20150316001607 |
| Provider Name | Kara L Acre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992073878 PECOS PAC ID: 0345561866 Enrollment ID: I20150609000362 |
| Provider Name | Fauzia Nisar Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861703902 PECOS PAC ID: 8729390315 Enrollment ID: I20150710001047 |
| Provider Name | Travis Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235548314 PECOS PAC ID: 3476853870 Enrollment ID: I20151207001932 |
| Provider Name | Hakim O Ogunsanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992166193 PECOS PAC ID: 4587963111 Enrollment ID: I20160503000300 |
| Provider Name | Zhihong Guo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326208984 PECOS PAC ID: 3577859412 Enrollment ID: I20160901001366 |
| Provider Name | Rachel S Mencher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811373509 PECOS PAC ID: 3274842695 Enrollment ID: I20171122001630 |
| Provider Name | Linda Nkongchu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346505252 PECOS PAC ID: 5890057855 Enrollment ID: I20180403001037 |
| Provider Name | Christine N Coble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346761996 PECOS PAC ID: 3678835667 Enrollment ID: I20180403002493 |
| Provider Name | Daramola Ayoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922587120 PECOS PAC ID: 4688919194 Enrollment ID: I20190102001359 |
| Provider Name | Joel E Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338203 PECOS PAC ID: 9133468143 Enrollment ID: I20190307003227 |
| Provider Name | Mary N Zelio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588901946 PECOS PAC ID: 8123351400 Enrollment ID: I20190603000241 |
| Provider Name | Allison G Innocent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205222890 PECOS PAC ID: 8224464177 Enrollment ID: I20200212002181 |
| Provider Name | Jaclyn Blaire Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477197424 PECOS PAC ID: 5294164984 Enrollment ID: I20200331003533 |
| Provider Name | Brian Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225613094 PECOS PAC ID: 1052720992 Enrollment ID: I20210506000357 |
| Provider Name | Rebecca Lynn Biggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871176156 PECOS PAC ID: 1153730007 Enrollment ID: I20210506000805 |
| Provider Name | Candace Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578141602 PECOS PAC ID: 9133529936 Enrollment ID: I20210616001221 |
| Provider Name | Raphael Ernest Gikonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205458536 PECOS PAC ID: 6608264296 Enrollment ID: I20211101003044 |
| Provider Name | Kathleen Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528720018 PECOS PAC ID: 9032507645 Enrollment ID: I20211102000353 |
| Provider Name | Courtney L Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427725878 PECOS PAC ID: 3779971171 Enrollment ID: I20211103001571 |
| Provider Name | Leslie Dara Segev |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184212656 PECOS PAC ID: 1254729619 Enrollment ID: I20211104000703 |
| Provider Name | Ashwini Vinod Sabnis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396777009 PECOS PAC ID: 8820241946 Enrollment ID: I20220207000761 |
| Provider Name | Liz Np Nangendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108730 PECOS PAC ID: 6204100886 Enrollment ID: I20220411000304 |
| Provider Name | Natacha Y Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644036 PECOS PAC ID: 3072900356 Enrollment ID: I20220505001480 |
| Provider Name | Star Tangyie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679835698 PECOS PAC ID: 2264817840 Enrollment ID: I20220919000137 |
| Provider Name | Nicole Onolfi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942898648 PECOS PAC ID: 1557733995 Enrollment ID: I20230210001090 |
| Provider Name | Olufunmilayo E Adeloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184377855 PECOS PAC ID: 0749653533 Enrollment ID: I20230225000224 |
| Provider Name | Emily Sara Yee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134716657 PECOS PAC ID: 9436522851 Enrollment ID: I20230306002969 |
| Provider Name | Meredith Bryn Ordak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689385791 PECOS PAC ID: 8123491545 Enrollment ID: I20230307000107 |
| Provider Name | Anika C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235853334 PECOS PAC ID: 0749654408 Enrollment ID: I20230320001470 |
| Provider Name | Krista Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881394 PECOS PAC ID: 4688046956 Enrollment ID: I20230323000978 |
| Provider Name | Ravipreet Singh Gosal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003337049 PECOS PAC ID: 5193170579 Enrollment ID: I20231005001820 |
| Provider Name | Amy Ruth Vanlenten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851560130 PECOS PAC ID: 1951759208 Enrollment ID: I20231127001820 |
| Provider Name | Heather Mhc Dupre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740605633 PECOS PAC ID: 6305297920 Enrollment ID: I20240109000321 |
| Provider Name | Kylie Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699389668 PECOS PAC ID: 4880047174 Enrollment ID: I20240202002005 |
| Provider Name | Brianna Preston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366114670 PECOS PAC ID: 7719320803 Enrollment ID: I20240206000907 |
| Provider Name | Blair Christine Dugan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487330650 PECOS PAC ID: 3870936925 Enrollment ID: I20240206003018 |
| Provider Name | Alexandra Christine Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619628740 PECOS PAC ID: 4385087378 Enrollment ID: I20240206004839 |
| Provider Name | Meagan L. Herman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437553880 PECOS PAC ID: 7315380037 Enrollment ID: I20240209002763 |
| Provider Name | Cody Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144987108 PECOS PAC ID: 0749624740 Enrollment ID: I20240219000053 |
| Provider Name | Holly Ann Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194479907 PECOS PAC ID: 4789028705 Enrollment ID: I20240219000605 |
| Provider Name | Monica Mae Beeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306574876 PECOS PAC ID: 9931543964 Enrollment ID: I20240219001091 |
| Provider Name | Caroline Virginia Hardesty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992085567 PECOS PAC ID: 7618311580 Enrollment ID: I20240219002881 |
| Provider Name | Gregory Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710352471 PECOS PAC ID: 6406290386 Enrollment ID: I20240219003450 |
| Provider Name | Jeremy Ryan Tallman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225574031 PECOS PAC ID: 9638513484 Enrollment ID: I20240220002212 |
| Provider Name | James R Henschen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730314618 PECOS PAC ID: 3476997271 Enrollment ID: I20240220004145 |
| Provider Name | Lauren Monique Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982298337 PECOS PAC ID: 2961846753 Enrollment ID: I20240220004176 |
| Provider Name | Jaimey Mcclurkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306406996 PECOS PAC ID: 8325482052 Enrollment ID: I20240221000696 |
| Provider Name | Melanie Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932875382 PECOS PAC ID: 8628412368 Enrollment ID: I20240221000947 |
| Provider Name | Omolola Victoria Imani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871137638 PECOS PAC ID: 4385088038 Enrollment ID: I20240221001214 |
| Provider Name | Deborah Anne Woodend Stenger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124774419 PECOS PAC ID: 9739523432 Enrollment ID: I20240221003024 |
| Provider Name | Dorian Campbell Temple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659771491 PECOS PAC ID: 7113361742 Enrollment ID: I20240222000401 |
| Provider Name | Kayleigh Lynn Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225703085 PECOS PAC ID: 8426492000 Enrollment ID: I20240222001864 |
| Provider Name | Jasmine Jefferson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588328371 PECOS PAC ID: 1456795905 Enrollment ID: I20240223000008 |
| Provider Name | Shelby Hope Bish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205553658 PECOS PAC ID: 9739523291 Enrollment ID: I20240223000371 |
| Provider Name | Andy Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629730858 PECOS PAC ID: 8729423215 Enrollment ID: I20240223002035 |
| Provider Name | Julie Bollinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518412022 PECOS PAC ID: 3274978754 Enrollment ID: I20240226000040 |
| Provider Name | Crystal Lynn Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578130837 PECOS PAC ID: 4880039692 Enrollment ID: I20240304000938 |
| Provider Name | Laurey W Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588877476 PECOS PAC ID: 2365886165 Enrollment ID: I20240305000151 |
| Provider Name | Mark J. Raspberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679876791 PECOS PAC ID: 9234575622 Enrollment ID: I20240307002605 |
| Provider Name | Carlie Belt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932455888 PECOS PAC ID: 2062856867 Enrollment ID: I20240311000837 |
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