PROFESSIONAL MENTAL HEALTH SERVICES LLC
NPI 1063303501
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Q: What is Professional Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 12, 2025

172 THOMAS JOHNSON DR STE 203L2, FREDERICK, MD 21702(703) 568-5059 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Professional Mental Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL MENTAL HEALTH SERVICES LLC (NPI 1063303501), doing business as Professional Mental Health Services, is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since July 2025. The organization lists Elsa Gherezghiher Asghedom, Owner, as its authorized official.

NPPES Registry Identity

NPI1063303501

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePROFESSIONAL MENTAL HEALTH SERVICES LLC

Location Address172 THOMAS JOHNSON DR STE 203L2Frederick, MD 21702-4402

Mailing Address172 Thomas Johnson Dr Ste 203l2Frederick, MD 21702-4402 · (703) 568-5059

Phone(703) 568-5059

Organization SubpartNo

Authorized OfficialElsa Gherezghiher AsghedomOwner · (703) 568-5059

Enumeration DateJuly 12, 2025

Last NPPES UpdateOctober 5, 2025

NPPES CertifiedOctober 5, 2025

✔ NPI 1063303501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

172 THOMAS JOHNSON DR STE 203L2, Frederick, MD 21702

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Other Names 1

Doing Business AsProfessional Mental Health Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELSA GHEREZGHIHER ASGHEDOM PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

172 THOMAS JOHNSON DR STE 203L2
FREDERICK, MD 21702

Frederick County (703) 568-5059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Mental Health Services LLC's NPI number?

The NPI number for Professional Mental Health Services LLC is 1063303501. It was assigned to this organization in the NPPES registry on July 12, 2025. The provider is doing business as Professional Mental Health Services.

Where is Professional Mental Health Services LLC located?

Professional Mental Health Services LLC is located at 172 Thomas Johnson Dr Ste 203l2, Frederick, MD 21702. The listed phone number is (703) 568-5059.

What is Professional Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Professional Mental Health Services LLC was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.