Clint Trest, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

901732 Issued in MS

Practice address

3550 Highway 468 W
Whitfield, MS 39193-5529

Phone

(601) 351-8000

NPI assigned

Nov 4, 2016

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Trest Mental Health LLCGroup PAC ID 5193219152, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trest Mental Health, LLC

  • Psychiatry Physician
  • Brandon, MS
  • NPI 1881554681
  Medicare reassignment Care Compare group NPD
• Medical Systems Management LLC

  dba Rankin Rural Medical Clinic

  • Rural Health Clinic/Center
  • Richland, MS
  • NPI 1740555267
  Care Compare group
• Mindstrong Health Services Co PC

  • Psychiatry Physician
  • Centennial, CO
  • NPI 1487310140
  NPD (past)
• Mindstrong Health Services, PC

  • Psychiatry Physician
  • Mountain View, CA
  • NPI 1275018970
  NPD (past)

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1750833984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TOULON ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390426059",
            "telephone_number": "601-941-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391935529",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940411552",
            "country_code": "US",
            "telephone_number": "888-601-0499",
            "fax_number": "650-242-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREST",
        "first_name": "CLINT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901732",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "22319",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61142303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlie Stepro
• Lisa B Stone, M. D.
• William P. Stone, D.M.D.
• Carolyn Frances Tingle, M. D.
• Larry R Travis, LCMHT/LSW/CCSS-II
• Chassity Nicole Vanderford, NP
• Katrina L. Vaughn, LPN
• Heather Amber Villarreal, MD
• Andrea M. Walls, CCSS
• Billy Ray Walton, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Whitfield, MS
• Providers in Whitfield, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.