BLUE SKY MENTAL HEALTH CLINIC LLC
NPI 1184204745
Clinic/Center - Adult Mental Health in Silver Spring, MD

Active since April 08, 2021
10301 GEORGIA AVE STE 203W, SILVER SPRING, MD 20902(240) 865-3135 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2026, May 14, 2021, Apr 8, 2021 (3 updates tracked since 2021).

About Blue Sky Mental Health Clinic Llc NPPES

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

BLUE SKY MENTAL HEALTH CLINIC LLC (NPI 1184204745) is a healthcare organization registered as an adult mental health in Silver Spring, Maryland and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Washington and lists Jason Gadner Eliassaint, Owner, as its authorized official.

NPPES Registry Identity

NPI1184204745
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBLUE SKY MENTAL HEALTH CLINIC LLC
Location Address10301 GEORGIA AVE STE 203WSilver Spring, MD 20902-5020
Mailing Address10301 Georgia Ave Ste 203wSilver Spring, MD 20902-5020 · (404) 992-1632
Organization SubpartNo
Authorized OfficialJason Gadner EliassaintOwner · (404) 992-1632
Enumeration DateApril 8, 2021
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1184204745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10301 GEORGIA AVE STE 203W, Silver Spring, MD 20902

Other Names 1

Doing Business AsBlue Sky Mental Health Clinic Llc

Secondary Practice Location 1

Location 13831 Pennsylvania Ave SEWashington, DC 20020-1309 · Phone (202) 304-1088 · Fax (202) 792-5619

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Sky Mental Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Blue Sky Mental Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1972143915
10301 GEORGIA AVE STE 203W
Silver Spring, MD 20902
(240) 865-3135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689878753
831 UNIVERSITY BLVD E #14
Silver Spring, MD 20903
(301) 445-3192
✔ PECOS✔ Accepts Medicare3.5 mi
Clinical Social Worker
NPI 1891934865
14504 GREENVIEW DR STE 201
Laurel, MD 20708
(412) 979-3224
✔ PECOS✔ Accepts Medicare12 mi
Mental Health Counselor
NPI 1841000551
2301 HUNTER ST
Baltimore, MD 21218
(443) 374-7317
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1386337871
3030 GREENMOUNT AVE STE 300
Baltimore, MD 21218
(240) 554-5510
✔ PECOS31 mi
Nurse Practitioner
NPI 1720483456
617 W PATRICK ST
Frederick, MD 21701
(240) 405-8084
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1073238846
9506 HARFORD RD
Parkville, MD 21234
(443) 703-8345
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1285458554
975 SOLOMONS ISLAND RD N
Prince Frederick, MD 20678
(301) 642-8551
✔ PECOS✔ Accepts Medicare40 mi

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 Blue Sky Mental Health Clinic LLC's NPI number?

The NPI number for Blue Sky Mental Health Clinic LLC is 1184204745. It was assigned to this organization in the NPPES registry on April 8, 2021.

Where is Blue Sky Mental Health Clinic LLC located?

Blue Sky Mental Health Clinic LLC is located at 10301 Georgia Ave Ste 203W, Silver Spring, MD 20902. The listed phone number is (240) 865-3135.

What is Blue Sky Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Blue Sky Mental Health Clinic LLC enrolled in Medicare?

Yes. Blue Sky Mental Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Sky Mental Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Blue Sky Mental Health Clinic 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. The largest specialties are Nurse Practitioner (5), Mental Health Counselor (2) and Clinical Social Worker (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Sky Mental Health Clinic LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.