NPIMap

Organization Active NPI

Blue Mountain Therapy, LLC

  • Developmentally Disabled Services Day Training Agency
  • Abingdon, VA
National Provider Identifier
1326623331
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BLUE MOUNTAIN THERAPY, LLC
Practice address
17507 Lee Hwy
Abingdon, VA 24210-7835
Phone
(276) 525-6043
NPI assigned
Mar 11, 2021
Organization subpart
Yes
Parent organization
BLUE MOUNTAIN THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Melissa Hope Henderson
Title
Office Manager
Phone
(276) 525-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

17507 Lee Hwy
Abingdon, VA 24210-7835

Mailing address

17507 Lee Hwy
Abingdon, VA 24210-7835
Phone (276) 525-6043

Other practice location 1

27018 Lee Hwy
Abingdon, VA 24211-7512
Phone (276) 525-4460

Other names 1

  • Blue Mountain Therapy Therapeutic Consultation Other name

National Provider Directory

National Provider Directory
Tax ID family
Blue Mountain Therapy LLC6 organizations share this tax ID, including this one
Part of
Blue Mountain Therapy LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1326623331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835",
            "telephone_number": "276-525-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835",
            "telephone_number": "276-525-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27018 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117512",
            "country_code": "US",
            "telephone_number": "276-525-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE MOUNTAIN THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE MOUNTAIN THERAPY, LLC",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-525-4460"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Therapy Therapeutic Consultation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.