Blue Ridge Behavioral Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904006919 Issued in VA

Legal business name

BLUE RIDGE BEHAVIORAL HEALTHCARE

Practice address

302 2ND St SW FL 2
Roanoke, VA 24011-1514

Phone

(540) 345-6781

Fax

(540) 344-3578

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Tim Steller

Title

Executive Director

Phone

(540) 345-9841

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Monique Deberry Worrell, LCSW

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1679717854
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1679717151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-345-6781",
            "fax_number": "540-344-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND ST SW FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111514",
            "telephone_number": "540-345-6781",
            "fax_number": "540-344-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "STELLER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-345-9841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904006919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437137734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Blubaugh, PHARMD
• Blue Ridge Apothecary Inc
• Blue Ridge Behavioral Healthcare
• Blue Ridge Behavioral Healthcare
• Blue Ridge Behavioral Healthcare
• Blue Ridge Digestive Health, LLC
• Blue Ridge Echo LLC
• Blue Ridge Echo, LLC
• Blue Ridge Healthcare Partners, LLC
• Blue Ridge Independent Living Center Inc

• Community/Behavioral Health Agency in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.