NPIMap

Organization Active NPI

Strategic Therapy Associates

  • Community/Behavioral Health Agency
  • Roanoke, VA
National Provider Identifier
1679932396
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01402014 Issued in VA
Legal business name
STRATEGIC THERAPY ASSOCIATES
Practice address
4664 Brambleton Ave
Roanoke, VA 24018-3411
Phone
(540) 523-1673
Fax
(434) 237-9454
NPI assigned
Feb 23, 2016
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
George Blondino, LMFT, LPCNPI 1467541706
Title
Owner
Phone
(434) 237-9450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01402014 VA Primary

Addresses

Primary practice location

4664 Brambleton Ave
Roanoke, VA 24018-3411

Mailing address

108 Duncraig Dr
Lynchburg, VA 24502-3335

National Provider Directory

National Provider Directory
Tax ID family
Strategic Therapy Associates Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

4664 Brambleton Ave
Roanoke, VA 24018
Phone (540) 523-1673

Practitioners & affiliated clinicians

Practitioners 1

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1679932396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DUNCRAIG DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183411",
            "telephone_number": "540-523-1673",
            "fax_number": "434-237-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "BLONDINO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-237-9450",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "01402014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 2021; 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.