Akherenwei Gwan, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R167921 Issued in MD

Practice address

7474 Greenway Center Dr Ste 700a
Greenbelt, MD 20770-3523

Phone

(301) 982-3437

NPI assigned

Apr 24, 2014

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Behavioral Health Services PCGroup PAC ID 4082041637, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Greenbelt, MD
  • NPI 1881233872

  DC

  Medicare reassignment Care Compare group NPD
• Marissa Block LLC

  dba Insight Therapy

  • Professional Counselor
  • Towson, MD
  • NPI 1407453939
  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MD

  Medicare reassignment NPD
• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Frederick, MD
  • NPI 1427677061
  Medicare reassignment
• Life Renewal Services

  • Adult Mental Health Clinic/Center
  • Columbia, MD
  • NPI 1700337698
  NPD
• Life Renewal Services, Inc.

  • Mental Health Counselor
  • Windsor Mill, MD
  • NPI 1457471385
  NPD
• Life Renewal Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Westminster, MD
  • NPI 1578995213
  NPD
• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Olney, MD
  • NPI 1801415443
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1447670732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PALADIUM CT UNIT 203",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171393",
            "telephone_number": "617-461-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 700A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-982-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Saint Paul St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021681",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Saint Paul St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021681",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4355 Ferguson Dr",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452455136",
            "country_code": "US",
            "telephone_number": "513-718-0115",
            "fax_number": "855-540-4722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 York Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936022",
            "country_code": "US",
            "telephone_number": "410-825-2281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3460 Olney Laytonsville Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208323701",
            "country_code": "US",
            "telephone_number": "301-982-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 W 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014106",
            "country_code": "US",
            "telephone_number": "301-245-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Main St",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "21136",
            "country_code": "US",
            "telephone_number": "410-526-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWAN",
        "first_name": "AKHERENWEI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "NP15892",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 15892-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167921",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R167921",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "NP15892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Owingsmills",
            "affiliation": "N",
            "address_1": "310 Paladium Ct Unit 203",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211171393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guaranteed Care Access (Guaranteed Care Access Corp)
• Michelle Gulley
• Renuka Gupta, M.D.
• Alyssa Gutierrez
• Millicent Gwam
• Gwendolyn V Youngblood, MD, PC
• Alberta Gyimah-Boadi
• Haddis Hagos, MD
• Mezgebe Haile, M.D.
• Yakub Hajara

• Psychiatric/Mental Health Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.