Organization Active NPI

Way Station Counseling, LLC

  • Clinical Social Worker
  • Richmond Hill, GA
National Provider Identifier
1649803867
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WAY STATION COUNSELING, LLC
Practice address
128 Frances Meeks Way Ste 6
Richmond Hill, GA 31324-3984
Phone
(912) 999-3888
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Catherine Dejesus, LCSWNPI 1881230415
Title
Sole Owner
Phone
(215) 313-3689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

128 Frances Meeks Way Ste 6
Richmond Hill, GA 31324-3984

Mailing address

128 Frances Meeks Way Ste 6
Richmond Hill, GA 31324-3984
Phone (912) 999-3888

National Provider Directory

National Provider Directory

Locations

128 Frances Meeks Way
Ste 6
Richmond Hill, GA 31324
Phone (912) 459-4121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1649803867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 6",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "912-999-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 6",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "912-999-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY STATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "215-313-3689",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.