Individual provider Active NPI

Jasmine Mitchell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, MS
National Provider Identifier
1851989214
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903872 Issued in MS
Practice address
810 E Sunflower Rd Ste 140
Cleveland, MS 38732-2800
Phone
(662) 843-2889
NPI assigned
Dec 31, 2020
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903872 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd Ste 140
Cleveland, MS 38732-2800

Mailing address

PO Box 403
Rosedale, MS 38769-0403
Phone (662) 719-9897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231005001628 MS Practitioner - Nurse Practitioner 5597110973 Reassigns benefits to 2 organizations
I20240827004790 NC Practitioner - Nurse Practitioner 5597110973 Reassigns benefits to 4 organizations
I20241226001116 TN Practitioner - Nurse Practitioner 5597110973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians

Practice addresses (Care Compare)

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

992 Davidson Dr
Suite B
Nashville, TN 37205-1051
Phone (469) 895-9275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
34405TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince Jan 27, 2025 Accepting new patients
Forefront Telecare Inc Psychiatry CurrentSince Sep 20, 2023 Accepting new patients
Garner Behavioral Hospital, LLC CurrentSince Oct 17, 2025 Accepting new patients
Brynn Marr Hospital Inc Psychiatry CurrentSince May 4, 2024 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation Psychiatry CurrentSince Oct 19, 2024 Accepting new patients
Forefront-Matteson Medical Services PC Psychiatry CurrentSince Mar 18, 2025 Accepting new patients
Access Serenity of Mississippi LLC Psychiatry CurrentSince Jun 10, 2024 Accepting new patients
Ely Psychiatric Services LLC Psychiatric/Mental Health PastSince Jan 17, 2021 Accepting new patients

Locations

810 E Sunflower Rd
Ste 140
Cleveland, MS 38732
Phone (662) 588-3911

248 E Capitol St
Ste 840
Jackson, MS 39201

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

992 Davidson Dr
Ste B
Nashville, TN 37205
Phone (469) 895-9275

Interoperability endpoints

  • Direct secure messaging: jasmine.mitchell.1@24287.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1851989214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "ROSEDALE",
            "state": "MS",
            "postal_code": "387690403",
            "telephone_number": "662-719-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 140",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-843-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JASMINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.