Jason Gadner Eliassaint, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R189215 Issued in MD

Practice address

10301 Georgia Ave Ste 203W
Silver Spring, MD 20902-5020

Phone

(240) 865-3135

NPI assigned

Jan 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Sky Mental Health Clinic LLCGroup PAC ID 4284132176, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Sky Mental Health Clinic LLC

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1184204745

  DC

  Medicare reassignment Care Compare group Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment NPD
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment NPD
• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC, Mental Health (Including Community Mental Health Center)

  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Blue Sky Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1467372623

  Mental Health (Including Community Mental Health Center)

  NPD (past) Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD
• Spiritual Healing

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1982399218
  NPD
• Toller Enterprises LLC

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1821694084

  Mental Health (Including Community Mental Health Center)

  NPD
• Kannan and Associates PC

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1225329956
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1972143915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LYONS CREEK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083407",
            "telephone_number": "404-992-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE STE 203W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "240-865-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14504 Greenview Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207083225",
            "country_code": "US",
            "telephone_number": "240-377-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIASSAINT",
        "first_name": "JASON",
        "middle_name": "GADNER",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R189215",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R189215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 13, 2025; 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.

Verify at the official NPI Registry.