Blue Ridge Christian Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLUE RIDGE CHRISTIAN COUNSELING

Practice address

107 Roanoke St Ste B
Christiansburg, VA 24073-3019

Phone

(540) 227-4841

Fax

(540) 301-3546

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Scott Gembola, LPC

Title

Executive Director

Phone

(540) 632-0272

Specialties & licenses 3

Addresses

Other names 1

• Blue Ridge Biblical Counseling Former legal business name

Locations

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1790468486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ROANOKE ST STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733019",
            "telephone_number": "540-227-4841",
            "fax_number": "540-301-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROANOKE ST STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733019",
            "telephone_number": "540-227-4841",
            "fax_number": "540-301-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GEMBOLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-632-0272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Biblical Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Blau, LCSW
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• Jill E. Bloom, PA
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• Dustin M. Boatman, M.D.
• Shameka Hylton Bolden, LPC
• Wendy Bolt, LPC

• Professional Counselor in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.