Professional Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROFESSIONAL MENTAL HEALTH SERVICES LLC

Doing business as

Professional Mental Health Services

Practice address

172 Thomas Johnson Dr Ste 203L2
Frederick, MD 21702-4402

Phone

(703) 568-5059

NPI assigned

Jul 12, 2025

Last updated

Oct 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elsa Gherezghiher Asghedom, PMHNP-BCNPI 1346069630

Title

Owner

Phone

(703) 568-5059

Specialties & licenses 1

Addresses

Other names 1

• Professional Mental Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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.

• Elsa Gherezghiher Asghedom, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1346069630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1063303501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 THOMAS JOHNSON DR STE 203L2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024402",
            "telephone_number": "703-568-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 THOMAS JOHNSON DR STE 203L2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024402",
            "telephone_number": "703-568-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "ASGHEDOM",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "GHEREZGHIHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-568-5059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, 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 Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.