1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Nurse Practitioner
  6. NPI Profile

JARED J CARBONE APRN PMHNP-BC LLC
NPI 1245091917
Nurse Practitioner - Psychiatric/Mental Health in Greenville, SC

Active since January 19, 2024
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607(864) 477-3447(877) 935-4151 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Mar 4, 2024 (2 updates tracked since 2024).

About Jared J Carbone Aprn Pmhnp-bc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED J CARBONE APRN PMHNP-BC LLC (NPI 1245091917), doing business as Southern Om Telepsychiatric Services, is a healthcare organization registered as a psychiatric/mental health in Greenville, South Carolina and active in the NPI registry since January 2024. The organization lists Jared Joshua Carbone, Owner, as its authorized official.

NPPES Registry Identity

NPI1245091917
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJARED J CARBONE APRN PMHNP-BC LLC
Location Address128 MILLPORT CIR STE 200Greenville, SC 29607-5573
Mailing Address52 Willomere WaySimpsonville, SC 29681-7136 · (864) 477-3447 · Fax (877) 935-4151
Phone(864) 477-3447
Fax(877) 935-4151
Organization SubpartNo
Authorized OfficialJared Joshua CarboneOwner · (864) 477-3447
Enumeration DateJanuary 19, 2024
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1245091917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
128 MILLPORT CIR STE 200, Greenville, SC 29607
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Om Telepsychiatric Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANCHORED WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 315-1617
MS. CHAMEKA KONSWELA PARKS
Counselor (Professional)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 808-0218
SARAH JUNGMEE ROLFE NP
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 651-7257
BOSHUNA BURTON REGISTERED NURSE
Registered Nurse
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 705-4063
JENNA SIMONS
Behavior Technician
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (877) 264-6747
MR. JARED JOSHUA CARBONE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 477-3447
MR. TIMOTHY G JACKSON MMFT, LMFT-A
Marriage & Family Therapist
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 214-6257
RFJ & COMPANY LLC
Non-emergency Medical Transport (VAN)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (843) 453-1684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared J Carbone Aprn Pmhnp-Bc LLC's NPI number?

The NPI number for Jared J Carbone Aprn Pmhnp-Bc LLC is 1245091917. It was assigned to this organization in the NPPES registry on January 19, 2024. The provider is doing business as Southern Om Telepsychiatric Services.

Where is Jared J Carbone Aprn Pmhnp-Bc LLC located?

Jared J Carbone Aprn Pmhnp-Bc LLC is located at 128 Millport Cir Ste 200, Greenville, SC 29607. The listed phone number is (864) 477-3447.

What is Jared J Carbone Aprn Pmhnp-Bc LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Jared J Carbone Aprn Pmhnp-Bc LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of South Carolina list Jared J Carbone Aprn Pmhnp-Bc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared J Carbone Aprn Pmhnp-Bc LLC was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.