PROFESSIONAL MENTAL HEALTH SERVICES LLC
NPI 1063303501
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD
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 Lanham, Maryland and active in the NPI registry since July 2025. The organization lists Elsa Gherezghiher Asghedom, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Professional Mental Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Professional Mental Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lanham, MD 20706
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10101 Senate Drive Suite 200 Office 213, Lanham, MD 20706. 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.
Is Professional Mental Health Services LLC enrolled in Medicare?
Yes. Professional Mental Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Mental Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Professional Mental Health Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Professional Mental Health Services LLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Professional Mental Health Services Llc · NPI 1063303501
Psychiatric/Mental Health organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since July 12, 2025.
## Identity
- **NPI:** 1063303501 (Entity type: Organization)
- **Enumerated:** July 12, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Professional Mental Health Services (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Elsa Asghedom, OWNER
## Practice location
- **Address:** 10101 SENATE DRIVE SUITE 200, OFFICE 213, Lanham, MD 20706
- **Phone:** (703) 568-5059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063303501) · Data from the CMS NPPES public registry.