Star City Therapy Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

STAR CITY THERAPY SERVICES

Practice address

4220 Cypress Park Dr Ste B
Roanoke, VA 24018-8403

Phone

(540) 772-1872

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Holly McCloud, LMFTNPI 1770966111

Title

Ceo

Phone

(540) 206-2865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

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

• Holly R McCloud, LMFT

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1770966111
  Medicare reassignment NPD Authorized official
• Brittany Kark

  • Mental Health Counselor
  • Christiansburg, VA
  • NPI 1962113639
  Medicare reassignment NPD
• Emily Catherine Uribe

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1619505328
  Medicare reassignment NPD
• Anna Williams

  • Professional Counselor
  • Roanoke, VA
  • NPI 1316804032

  Single Specialty

  Medicare reassignment NPD
• Karen G Forbes, LCSW

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1407192271
  NPD
• Jessica Price, LPC

  • Professional Counselor
  • Roanoke, VA
  • NPI 1891523536
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1629610035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 BRAMBLETON AVE STE D",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183659",
            "telephone_number": "540-206-8265",
            "fax_number": "540-266-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CYPRESS PARK DR STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188403",
            "telephone_number": "540-772-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-206-2865",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Behavioral Health, PLLC
• Star City Dream Oasis LLC
• Star City Eye Care
• Star City Management
• Star City Medtrans, LLC
• Starkey Medical
• Starkey Medical PC
• Starkey Medical PC
• Starkey Road Dental, Inc.
• Jamie W Starkey, LCSW

• Adolescent and Children Mental Health Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Adolescent and Children Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.