BLUE RIDGE BEHAVIORAL HEALTHCARE (NPI# 1679717151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679717151 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE BEHAVIORAL HEALTHCARE |
| Practice Address |
302 2nd St Sw Fl 2 Roanoke VA 24011-1514 |
| Mailing Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Practice Telephone | 5403456781 |
| Practice Fax Number | 5403443578 |
| Mailing Telephone | 5403456781 |
| Mailing Fax Number | 5403443578 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | MR. TIM STELLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5403459841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0904006919 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1437137734 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255442570 | Blue Ridge Behavioral Healthcare | Day Training, Developmentally Disabled Services | 2708 Liberty Rd Nw, Roanoke, VA 24012-4745 | 2006-08-31 |
| 1437137734 | Blue Ridge Behavioral Healthcare | Clinic/Center | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-01-06 |
| 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 |
302 2ND ST SW FL 2 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24011-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717854 | Monique Deberry Worrell | Social Worker | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
| 1568405884 | Jilda Edean Long | Optometrist | 22 Campbell Ave Se, Roanoke, VA 24011 | 2006-06-14 |
| 1558415117 | Total Action Against Poverty | Voluntary or Charitable | 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 | 2007-01-22 |
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1700070083 | Long Sight, PC | Clinic/Center | 22 Campbell Ave Se, Roanoke, VA 24011-1404 | 2007-08-30 |
| 1265523211 | City of Roanoke | Clinic/Center | 120 Kirk Ave Sw, Roanoke, VA 24011-1602 | 2006-09-27 |
| 1386892362 | Tennille Alycee Smelcer | Nurse Practitioner | 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 | 2008-09-03 |
| 1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
| 1275855785 | Carilion Tazewell Community Hospital | Family Medicine | 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 | 2010-02-25 |
| Find all providers in zip 24011 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910046 | A Path Forward Behavioral Health, LLC. | Community/Behavioral Health | 101 Church Ave Sw, Roanoke, VA 24011-1922 | 2020-04-09 |
| 1437621950 | Lifeforce Counseling and Consulting, LLC | Community/Behavioral Health | 4800 Pleasant Hill Dr Ste 202, Roanoke, VA 24018-3406 | 2018-12-21 |
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1013467000 | Jude's Place LLC | Community/Behavioral Health | 13537 Lost Spurs Rd, Roanoke, TX 76262-4508 | 2016-10-13 |
| 1679932396 | Strategic Therapy Associates | Community/Behavioral Health | 4664 Brambleton Ave, Roanoke, VA 24018-3411 | 2016-02-23 |
| 1609240043 | Family Counseling of Roanoke, LLC | Community/Behavioral Health | 3524 Brambleton Ave Ste 3, Roanoke, VA 24018-6528 | 2015-11-23 |
| 1497123657 | Family Preservation Services, Inc | Community/Behavioral Health | 3649 Ferncliff Ave Nw, Roanoke, VA 24017-1411 | 2015-09-04 |
| 1093182891 | Vianney Marengo | Community/Behavioral Health | 5460 Gloster Dr Apt 1a, Roanoke, VA 24019-6078 | 2015-08-27 |
| 1982009098 | Re-direct Youth Services | Community/Behavioral Health | 526 Rorer Ave Sw, Roanoke, VA 24016-3604 | 2014-10-31 |
| 1295146405 | Family Preservation Services, Inc | Community/Behavioral Health | 3142 Preston Avenue, Roanoke, VA 24901 | 2014-05-12 |
| Find all providers in ROANOKE | ||||
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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.