Star City Dream Oasis LLC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

STAR CITY DREAM OASIS LLC

Practice address

1402 Wellsley St NW
Roanoke, VA 24017-3032

Phone

(540) 797-8096

Fax

(540) 265-0986

NPI assigned

Jul 30, 2026

Organization subpart

No

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

Authorized official

Name

Derrick Alexander Ruben, QMHP

Title

Ceo

Phone

(540) 797-8096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1649192550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 WELLSLEY ST NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240173032",
            "telephone_number": "540-797-8096",
            "fax_number": "540-265-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 WELLSLEY ST NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240173032",
            "telephone_number": "540-797-8096",
            "fax_number": "540-265-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY DREAM OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "RUBEN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-797-8096",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Douglas Stanley, LPC
• Anthony Staples
• Emily Staples, D.O.
• Elizabeth Carter Stapleton
• Star Behavioral Health, PLLC
• Star City Eye Care
• Star City Management
• Star City Medtrans, LLC
• Star City Therapy Services
• Starkey Medical

• Pastoral Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pastoral Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.