Jared J Carbone Aprn Pmhnp-BC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JARED J CARBONE APRN PMHNP-BC LLC

Practice address

128 Millport Cir Ste 200
Greenville, SC 29607-5573

Phone

(864) 477-3447

Fax

(877) 935-4151

NPI assigned

Jan 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared Joshua CarboneNPI 1164810610

Title

Owner

Phone

(864) 477-3447

Specialties & licenses 1

Addresses

Other names 1

• Southern Om Telepsychiatric Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Joshua Carbone, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
  • NPI 1164810610
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1245091917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILLOMERE WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817136",
            "telephone_number": "864-477-3447",
            "fax_number": "877-935-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MILLPORT CIR STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075573",
            "telephone_number": "864-477-3447",
            "fax_number": "877-935-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED J CARBONE APRN PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-477-3447"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Om Telepsychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Om Telepsychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anjani Jammula, MD
• Chad Janes, DC
• Melissa Clark Janse, MD
• John Austin Jarboe III, ARNP
• Thomas W Jarecky, MD
• Patricia Jarosz, CRNA
• Elizabeth Sterling Jarrett, PSYD
• Meagan Marie Jarvis, DPT
• Kristine Sara Jasinski
• Olivia Jasinski, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.