Blue Ridge Mental Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUE RIDGE MENTAL HEALTH, PLLC

Doing business as

Blue Ridge Mental Health

Practice address

3740 Brevard Rd #216
Horse Shoe, NC 28742-1137

Phone

(336) 515-1193

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia P Faust, MD

Title

Clinical Outreach Manager, Co-Owner

Phone

(336) 515-1193

Specialties & licenses 2

Addresses

Other names 1

• Blue Ridge Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Shawn Faust, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Horse Shoe, NC
  • NPI 1841762762
  Medicare reassignment NPD
• Michelle Sarette McBride, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1699291534

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1518788686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 BREVARD RD #216",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287421137",
            "telephone_number": "336-515-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 BREVARD RD #216",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287421137",
            "telephone_number": "336-515-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Oak St",
            "address_2": "Ste 10 - 1066",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "72032",
            "country_code": "US",
            "telephone_number": "336-515-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE RIDGE MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL OUTREACH MANAGER, CO-OWNER",
        "authorized_official_telephone_number": "336-515-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Albea, DDS
• Tara Cantrell, LPCA
• Ronald Robert Castellucci, DC
• Larry D Cole, R.PH.
• Shawn Faust, DNP
• Four Circles Recovery Center, LLC

• Psychiatric/Mental Health Nurse Practitioner in Horse Shoe, NC
• Providers in Horse Shoe, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.