Professional Mental Health Services LLC
NPI 1063303501 · Psychiatric/Mental Health Nurse Practitioner · Frederick, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Mental Health Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Frederick, MD (NPI 1063303501).
Provider details
- NPI number
- 1063303501
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elsa Asghedom, Owner(703) 568-5059
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Professional Mental Health Services
Registry dates
- Enumerated
- 2025-07-12
- Last updated
- 2025-10-05
- Certified
- 2025-10-05
Frequently asked questions
- What is Professional Mental Health Services LLC's NPI number?
- Professional Mental Health Services LLC's National Provider Identifier (NPI) is 1063303501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Mental Health Services LLC?
- Professional Mental Health Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Professional Mental Health Services LLC located?
- Professional Mental Health Services LLC's practice location on file with NPPES is 172 Thomas Johnson Dr Ste 203l2, Frederick, MD 21702-4402.
- What is Professional Mental Health Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Mental Health Services LLC is (703) 568-5059.
- Does Professional Mental Health Services LLC accept Medicare?
- Professional Mental Health Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Professional Mental Health Services LLC?
- The authorized official listed on Professional Mental Health Services LLC's NPPES record is Elsa Asghedom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Mental Health Services LLC's NPI active?
- Yes — Professional Mental Health Services LLC's NPI (1063303501) is active in the NPPES registry as of the last update on 2025-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.