Active NPI
PHC of Virginia, LLC
Doing business as Mount Regis Center
- Substance Abuse Rehabilitation Facility
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 324500000X
- Legal business name
- PHC OF VIRGINIA, LLC
- Doing business as
- Mount Regis Center
- Practice address
- 125 Knotbreak Rd
Salem, VA 24153-5404 - Phone
- (540) 389-4761
- Fax
- (540) 404-4531
- NPI assigned
- Jan 9, 2007
- Last updated
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian P Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 324500000X | VA | Primary |
Addresses
Primary practice location
125 Knotbreak Rd
Salem, VA 24153-5404
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000
Other practice location 1
810 University Blvd Ste D
Blacksburg, VA 24060-3823
Phone (540) 389-4761
Other practice location 2
120 Roanoke Blvd
Salem, VA 24153-4908
Phone (540) 389-4761
Other names 1
- Mount Regis Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0912617 | Mt Regis Center | Certificate of waiver | Mar 6, 2028 |
| 49D2205570 | PHC of Virginia Inc | Certificate of waiver | Dec 14, 2026 |
| 49D2205575 | PHC of Virginia Inc | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
120 Roanoke Blvd
Salem, VA 24153
Phone (540) 389-4761
125 Knotbreak Rd
Salem, VA 24153
Phone (540) 389-4761
405 Kimball Ave
Salem, VA 24153
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Salem, VA
- NPI 1295743433
-
- Family Nurse Practitioner
- Blacksburg, VA
- NPI 1023216587
-
- Marriage & Family Therapist
- Elliston, VA
- NPI 1083266373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1639228778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 ASPEN GROVE DR STE 900",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370673134",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KNOTBREAK RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241535404",
"telephone_number": "540-389-4761",
"fax_number": "540-404-4531"
}
],
"practiceLocations": [
{
"address_1": "810 University Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240603823",
"country_code": "US",
"telephone_number": "540-389-4761",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Roanoke Blvd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241534908",
"country_code": "US",
"telephone_number": "540-389-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHC OF VIRGINIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "VA",
"license": "324500000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Regis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.