Blue Ridge Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1292-02-029 Issued in VA

Legal business name

BLUE RIDGE COUNSELING SERVICES, LLC

Practice address

300 Patrick Ave
Stuart, VA 24171-0941

Phone

(276) 694-2727

Fax

(276) 694-2627

NPI assigned

Feb 4, 2009

Last updated

May 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Grey Wilson, MSWNPI 1316366248

Title

Ceo

Phone

(276) 952-1756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Sharon Grey Wilson, LCSW

  • Clinical Social Worker
  • Meadows of Dan, VA
  • NPI 1316366248
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1629217260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241710941",
            "telephone_number": "276-694-2727",
            "fax_number": "276-694-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PATRICK AVE",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241710941",
            "telephone_number": "276-694-2727",
            "fax_number": "276-694-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "GREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-952-1756",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1292-02-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Madison Beasley, COTA/L
• Kellie Brooke Belcher, COTA/L
• Bette G Bell, OTR/L
• Jim Best Jr., CCC-SLP
• Crystal Black
• Blue Ridge Nursing Center, Inc.
• Blue Ridge SNF Operations LLC (Blue Ridge Therapy Connection)
• Emily Elizabeth Bowman
• Breaking Chains
• Daniel Brown, BACHELOR'S DEGREE

• Community/Behavioral Health Agency in Stuart, VA
• Providers in Stuart, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.