Organization Active NPI

Grounded Roots Virtual Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1427955319
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GROUNDED ROOTS VIRTUAL PSYCHIATRY
Practice address
118 W Juniper Ave
Flagstaff, AZ 86001-1379
Phone
(928) 607-2371
NPI assigned
Oct 22, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Allison Jencka, APRNNPI 1952029662
Title
Pmhnp-BC
Phone
(928) 607-2371

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

118 W Juniper Ave
Flagstaff, AZ 86001-1379

Mailing address

118 W Juniper Ave
Flagstaff, AZ 86001-1379
Phone (928) 607-2371

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1427955319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W JUNIPER AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011379",
            "telephone_number": "928-607-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W JUNIPER AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011379",
            "telephone_number": "928-607-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED ROOTS VIRTUAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "JENCKA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "928-607-2371",
        "authorized_official_credential": "APRN"
    },
    "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 Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.