Active NPI
Russell Alan Bays II, LPC
- Mental Health Counselor
- Roanoke, VA
National Provider Identifier
1639670946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701007518
- Practice address
- 1454 Mexico Way NE
Roanoke, VA 24012-6476 - Phone
- (434) 515-3529
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701007518 | VA | Primary |
Addresses
Primary practice location
1454 Mexico Way NE
Roanoke, VA 24012-6476
Mailing address
1454 Mexico Way NE
Roanoke, VA 24012-6476
Phone (434) 515-3529
Other practice location 1
18321 Forest Rd
Lynchburg, VA 24502-4359
Phone (434) 528-9711
Other names 1
- Rusty Bays
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007518 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Preservation Services LLC | Past | Accepting new patients | |
| Impact Living Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Roanoke, VA
- NPI 1093891335
-
- Professional Counselor
- Forest, VA
- NPI 1487054342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1639670946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 MEXICO WAY NE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240126476",
"telephone_number": "434-515-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 MEXICO WAY NE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240126476",
"telephone_number": "434-515-3529"
}
],
"practiceLocations": [
{
"address_1": "18321 Forest Rd",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245024359",
"country_code": "US",
"telephone_number": "434-528-9711",
"fax_number": "434-528-9716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYS",
"first_name": "RUSSELL",
"middle_name": "ALAN",
"name_suffix": "II",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701007518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUSTY",
"last_name": "BAYS",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.