BLUE RIDGE BEHAVIORAL HEALTHCARE (NPI# 1437137734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437137734 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE BEHAVIORAL HEALTHCARE |
| Practice Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Practice Telephone | 5403459841 |
| Practice Fax Number | 5405272900 |
| Mailing Telephone | 5403459841 |
| Mailing Fax Number | 5405272900 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MRS. CYNTHIA J. VAUGHT (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 5403459841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717151 | Blue Ridge Behavioral Healthcare | Community/Behavioral Health | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-04-28 |
| 1255442570 | Blue Ridge Behavioral Healthcare | Day Training, Developmentally Disabled Services | 2708 Liberty Rd Nw, Roanoke, VA 24012-4745 | 2006-08-31 |
| 1790861946 | Blue Ridge Behavioral Healthcare | Substance Abuse Rehabilitation Facility | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-10-31 |
| 1508833294 | Blue Ridge Behavioral Healthcare | Counselor | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2006-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUE RIDGE BEHAVIORAL HEALTHCARE | 301 Elm Ave, Sw, Roanoke, VA 24016-4001 |
| Street Address |
301 ELM AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497512 | Elizabeth Ann Connolly | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2020-01-29 |
| 1083012363 | Latonya Bolden Bolden | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-12-18 |
| 1114340338 | Suzanne Marie Rea | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-01-23 |
| 1063669687 | Allyson Rae Gray | Licensed Practical Nurse | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2008-08-26 |
| 1124207568 | Susan N Newton | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2007-11-02 |
| 1790861946 | Blue Ridge Behavioral Healthcare | Substance Abuse Rehabilitation Facility | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-10-31 |
| 1265530745 | Barbara Dawn Fulcher | Nurse Practitioner | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-09-20 |
| 1821004938 | Joan Reilly Landolt | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-07-31 |
| 1952348773 | Kristi Renee Cales | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-06-01 |
| 1871562439 | Gina Bevins Wilburn | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1528330800 | Walter B. Blair,m.d., Inc | Clinic/Center | 5115 Bernard Dr, Suite 101, Roanoke, VA 24018-4357 | 2012-02-02 |
| 1225364243 | Braley & Thompson | Clinic/Center | 2965 Colonnade Dr, Suite 130, Roanoke, VA 24018-3557 | 2009-10-27 |
| 1144277237 | Carilion Behavioral Health, Inc | Clinic/Center | 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 | 2006-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.