Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Wilt, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457121469

Justin Wilt, PMHNP is a Nurse Practitioner in Sabillasville, Maryland. Qualified in 2023, 3 years ago. Practices with Green Valley Therapy, LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

4635 Foxville Rd
Sabillasville, MD 21780-8510
Phone: (240) 367-6331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023193496 (MD)

Record details

NPI number1457121469
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Green Valley Therapy, L.L.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services