NPIMap

Organization Active NPI

Botetourt Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blue Ridge, VA
National Provider Identifier
1265535611
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BOTETOURT COUNSELING CENTER INC
Practice address
3522 Webster Road
Blue Ridge, VA 24064
Phone
(540) 977-6300
Fax
(540) 977-9523
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Kim Montgomery
Title
Business Owner/Manager
Phone
(540) 977-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3522 Webster Road
Blue Ridge, VA 24064

Mailing address

3522 Webster Road
Blue Ridge, VA 24064
Phone (540) 977-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000620 VA Part B Supplier - Clinic/Group Practice 5799887642 Receives reassigned benefits from 6 practitioners
Practice locations: Blue Ridge, VA

National Provider Directory

National Provider Directory

Locations

3522 Webster Rd
Blue Ridge, VA 24064
Phone (540) 944-6300

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1265535611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 WEBSTER ROAD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "24064",
            "telephone_number": "540-977-6300",
            "fax_number": "540-977-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 WEBSTER ROAD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "24064",
            "telephone_number": "540-977-6300",
            "fax_number": "540-977-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTETOURT COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS OWNER/MANAGER",
        "authorized_official_telephone_number": "540-977-6300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.