Active NPI
Roundtree Mental Health Group PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ROUNDTREE MENTAL HEALTH GROUP PLLC
- Practice address
- 1633 W Main St Ste 1401
Lebanon, TN 37087-3423 - Phone
- (931) 288-4619
- Fax
- (931) 208-4063
- NPI assigned
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Roundtree, NP
- Title
- Pmhnp
- Phone
- (615) 969-4271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1633 W Main St Ste 1401
Lebanon, TN 37087-3423
Mailing address
4180 Coles Ferry Pike
Lebanon, TN 37087-9603
Phone (615) 969-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2323307 | Roundtree Mental Health Group PLLC | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
142 Public Sq
Ste E104
Lebanon, TN 37087
Phone (931) 288-4619
142 Public Sq
Ste E
Lebanon, TN 37087
Phone (931) 265-2649
1633 W Main St
Ste 1401
Lebanon, TN 37087
Phone (931) 288-4619
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, TN
- NPI 1871286989
-
- Psychiatric/Mental Health Nurse Practitioner
- Clarksville, TN
- NPI 1124850466
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, TN
- NPI 1811722887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1376308635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 COLES FERRY PIKE",
"city": "LEBANON",
"state": "TN",
"postal_code": "370879603",
"telephone_number": "615-969-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 W MAIN ST STE 1401",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873423",
"telephone_number": "931-288-4619",
"fax_number": "931-208-4063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUNDTREE MENTAL HEALTH GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "ROUNDTREE",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "615-969-4271",
"authorized_official_credential": "NP"
},
"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": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.