Organization Active NPI

PHC of Virginia, LLC

Doing business as Mount Regis Center

  • Substance Abuse Rehabilitation Facility
  • Salem, VA
National Provider Identifier
1639228778
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
324500000X Issued in VA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0912617Mt Regis Center125 Knotbreak Road, Salem, VA 24153Certificate of waiverMar 6, 2028
49D2205570PHC of Virginia Inc120 Roanoke Rd, Salem, VA 24153Certificate of waiverDec 14, 2026
49D2205575PHC of Virginia Inc810 University City Blvd Suite D, Blacksburg, VA 24060Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.