Healthcare Provider Details

I. General information

NPI: 1316860539
Provider Name (Legal Business Name): GROUNDED CONNECTIONS PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8607 2ND AVE STE 307A
SILVER SPRING MD
20910-3356
US

IV. Provider business mailing address

8607 2ND AVE STE 307A
SILVER SPRING MD
20910-3356
US

V. Phone/Fax

Practice location:
  • Phone: 504-517-6293
  • Fax:
Mailing address:
  • Phone: 504-517-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ELIZABETH JARVIS
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW-C
Phone: 504-517-6293