Organization Active NPI

True North Integrated Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1942976154
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRUE NORTH INTEGRATED MENTAL HEALTH, PLLC
Practice address
102 Oakmont Dr Ste 30
Greenville, NC 27858-5770
Phone
(252) 364-8972
Fax
(252) 364-8971
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Jamie Rogers, PHD, PMHNP-BC
Title
Owner
Phone
(252) 364-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

102 Oakmont Dr Ste 30
Greenville, NC 27858-5770

Mailing address

102 Oakmont Dr Ste 30
Greenville, NC 27858-5770
Phone (252) 364-8972

Other identifiers 2

IdentifierTypeStateIssuer
1699986364OtherNCINDIVIDUAL NPI
1518158393OtherNCINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ethan@truenorthimh.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

102 Oakmont Dr
Ste 30
Greenville, NC 27858
Phone (252) 364-8972

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1942976154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OAKMONT DR STE 30",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585770",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OAKMONT DR STE 30",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585770",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH INTEGRATED MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-364-8972",
        "authorized_official_credential": "PHD, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699986364",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1518158393",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ethan@truenorthimh.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "102 Oakmont Dr Ste 30",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278585770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.