Blackstar Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLACKSTAR SOLUTIONS LLC

Practice address

4229 York Rd Ste 201
Baltimore, MD 21212-4884

Phone

(667) 392-0170

NPI assigned

Apr 30, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Nugent-Gyesie, PMHNPNPI 1548914005

Title

Director

Phone

(667) 392-0170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Blackstar Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blackstar Solutions LLC

  • Community/Behavioral Health Agency
  • Owings Mills, MD
  • NPI 1659244564
  NPD tax ID

Locations

Practitioners 2

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.

• Nicole Nugent-Gyesie, CRNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1548914005
  Medicare reassignment NPD Authorized official
• Shawn Antonio Dwight, PMHNP B-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1144101395

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1902541352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 YORK RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124884",
            "telephone_number": "667-392-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 YORK RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124884",
            "telephone_number": "667-392-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 Mill Run Cir # 452",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175577",
            "country_code": "US",
            "telephone_number": "667-392-0170",
            "fax_number": "410-589-0671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACKSTAR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "NUGENT-GYESIE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "667-392-0170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kelsey Blackert
• Gabrielle Levine Blackman, M.D.
• Isabella Caroline Blackman
• Scott M Blackman, M.D., PH.D.
• Diane Blackmon, LCSW-C
• Michelle Blackston, FNP
• William Blackston, LCADC
• Yulanda Blackston, LGPC
• Marilyn Blackston. MD, MD
• Vernita Blackwell Amos, LCSW-C

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.