NPIMap

Organization Active NPI

Blue Ridge Behavioral Health Services, LLC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1508862392
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Practice address
170 Thomas Johnson Dr
Ste 200
Frederick, MD 21702-6200
Phone
(301) 695-8390
Fax
(301) 694-7906
NPI assigned
Jun 26, 2005
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Laurie M. Lepeonke
Title
Office Manager
Phone
(301) 695-8390

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

170 Thomas Johnson Dr
Ste 200
Frederick, MD 21702-6200

Mailing address

170 Thomas Johnson Dr
Ste 200
Frederick, MD 21702-6200
Phone (301) 695-8390

National Provider Directory

National Provider Directory

Locations

170 Thomas Johnson Dr
Ste 2
Frederick, MD 21702
Phone (301) 695-8390

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1508862392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 THOMAS JOHNSON DR",
            "address_2": "STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026200",
            "telephone_number": "301-695-8390",
            "fax_number": "301-694-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 THOMAS JOHNSON DR",
            "address_2": "STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026200",
            "telephone_number": "301-695-8390",
            "fax_number": "301-694-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-26",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "LEPEONKE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-695-8390"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.