ROUNDTREE MENTAL HEALTH GROUP PLLC
NPI 1376308635
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, TN

Q: 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.

Q: 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.

Active since February 15, 2024CLIA 44D2323307 · Waiver

1633 W MAIN ST STE 1401, LEBANON, TN 37087(931) 288-4619(931) 208-4063 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1376308635

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROUNDTREE MENTAL HEALTH GROUP PLLC

Location Address1633 W MAIN ST STE 1401Lebanon, TN 37087-3423

Mailing Address4180 Coles Ferry PikeLebanon, TN 37087-9603 · (615) 969-4271

Phone(931) 288-4619

Fax(931) 208-4063

Organization SubpartNo

Authorized OfficialJordan RoundtreePmhnp · (615) 969-4271

Enumeration DateFebruary 15, 2024

Last NPPES UpdateSeptember 4, 2025

NPPES CertifiedSeptember 4, 2025

✔ NPI 1376308635 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

1633 W MAIN ST STE 1401, Lebanon, TN 37087

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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

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, TN

Active · expires May 4, 2027

CLIA Number44D2323307

Laboratory TypePractitioner Other

Certificate Effective DateMay 5, 2025

Certificate Expiration DateMay 4, 2027

Laboratory DirectorJordan T. Roundtree

Laboratory Phone(931) 288-4619

Laboratory LocationRoundtree Mental Health Group PLLC1633 W Main St, Suite 1401, Lebanon, TN 37087

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HELEN ANNETTE WHITAKER

Nurse Practitioner (Psychiatric/Mental Health)

1633 W MAIN ST STE 1401
LEBANON, TN 37087

Wilson County (931) 288-4619

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 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.

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 11 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.