Blue Ridge Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1070 Issued in NC

Legal business name

BLUE RIDGE COUNSELING

Practice address

110 W Elm St
Yadkinville, NC 27055-8203

Phone

(336) 677-3991

Fax

(336) 677-1359

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Suzanne Kelly, LPC, LCASNPI 1366420192

Title

Partner

Phone

(336) 677-3991

Specialties & licenses 2

Addresses

Practitioners 1

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

• Suzanne Autrey Kelly, LPC,LCAS,CEAP

  • Professional Counselor
  • Yadkinville, NC
  • NPI 1366420192

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1104239474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270551758",
            "telephone_number": "336-677-3991",
            "fax_number": "336-677-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W ELM ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558203",
            "telephone_number": "336-677-3991",
            "fax_number": "336-677-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-677-3991",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1223",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahlon Dwight Barringer Jr., R.PH.
• Isabella Beard
• Denny E Bischof, COTA/L
• Stephen G. Bissette, MD
• Tara Blanding
• Mackenzie Lauren Boyles, LCMHCA
• Brenda & Associates
• Brenda & Associates
• Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA
• Hope Bryant

• All providers in Yadkinville, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.