Active NPI
Elsa Gherezghiher Asghedom, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC006972
- Practice address
- 172 Thomas Johnson Dr Ste 203L2
Frederick, MD 21702-4402 - Phone
- (703) 568-5059
- NPI assigned
- Oct 4, 2024
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC006972 | MD | Primary |
Addresses
Primary practice location
172 Thomas Johnson Dr Ste 203L2
Frederick, MD 21702-4402
Mailing address
172 Thomas Johnson Dr Ste 203L2
Frederick, MD 21702-4402
Phone (703) 568-5059
Other practice location 1
14300 Gallant Fox Ln Ste 223
Bowie, MD 20715-4033
Phone (301) 828-2655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
172 Thomas Johnson Dr
Suite 203L2
Frederick, MD 21702-4402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC006972 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Mental Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| All Time Psychiatry LLC | Current | Accepting new patients |
Locations
14300 Gallant Fox Ln
Ste 223
Bowie, MD 20715
Phone (301) 828-2655
172 Thomas Johnson Dr
Ste 203L2
Frederick, MD 21702
Phone (703) 568-5059
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Professional Mental Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1063303501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1346069630",
"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": [
{
"address_1": "14300 Gallant Fox Ln Ste 223",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154033",
"country_code": "US",
"telephone_number": "301-828-2655",
"fax_number": "301-281-4002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASGHEDOM",
"first_name": "ELSA",
"middle_name": "GHEREZGHIHER",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-04",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC006972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.