Grace Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE MENTAL WELLNESS LLC

Practice address

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439

Phone

(240) 863-2777

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Grace Olaleye-Anisere, DNPNPI 1619551157

Title

Pmhnp-BC

Phone

(210) 413-1103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, DC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Olaleye-Anisere, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1619551157

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1336974591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014439",
            "telephone_number": "240-863-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW Loop 410 Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132258",
            "country_code": "US",
            "telephone_number": "210-413-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OLALEYE-ANISERE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "210-413-1103",
        "authorized_official_credential": "DNP"
    },
    "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": []
}

• Jed D Gould, M.D.
• Jennifer Christie Gourdin, M.D.
• Ashok Laxman Gowda, M.D.
• Kavita Goyal, M.D.
• Sylvie K Goyou
• Jennifer C Grace, LICSW
• Kathy A Grace, AU.D.
• Graceful Hand Home Healthcare
• Gracie Care LC
• Emily Graef

• Psychiatric/Mental Health Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Feb 25, 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.