ROUNDTREE MENTAL HEALTH GROUP PLLC
NPI 1376308635
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, TN
About Roundtree Mental Health Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROUNDTREE MENTAL HEALTH GROUP PLLC (NPI 1376308635) is a healthcare organization registered as a psychiatric/mental health in Lebanon, Tennessee and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Jordan Roundtree, Pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roundtree Mental Health Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Roundtree Mental Health Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2323307
Roundtree Mental Health Group PLLC · Lebanon, TNFrequently 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 Roundtree Mental Health Group PLLC's NPI number?
The NPI number for Roundtree Mental Health Group PLLC is 1376308635. It was assigned to this organization in the NPPES registry on February 15, 2024.
Where is Roundtree Mental Health Group PLLC located?
Roundtree Mental Health Group PLLC is located at 1633 W Main St Ste 1401, Lebanon, TN 37087. The listed phone number is (931) 288-4619.
What is Roundtree Mental Health Group PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Roundtree Mental Health Group PLLC enrolled in Medicare?
Yes. Roundtree Mental Health Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roundtree Mental Health Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Roundtree Mental Health Group PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Roundtree Mental Health Group PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2323307) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Roundtree Mental Health Group PLLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roundtree Mental Health Group Pllc · NPI 1376308635
Psychiatric/Mental Health organization in Lebanon, Tennessee. Organization record, active in the CMS NPPES registry since February 15, 2024.
## Identity
- **NPI:** 1376308635 (Entity type: Organization)
- **Enumerated:** February 15, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jordan Roundtree, PMHNP
## Practice location
- **Address:** 1633 W MAIN ST STE 1401, Lebanon, TN 37087-3423
- **Phone:** (931) 288-4619 · **Fax:** (931) 208-4063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376308635) · Data from the CMS NPPES public registry.