Virginia Treatment Center
Organization Active NPI Methadone Clinic · Roanoke, VA
NPI 1811035520 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1811035520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- VIRGINIA TREATMENT CENTER
- Practice address
- 3208 Hershberger Rd NW
Roanoke, VA 24017-1842 - Phone
- (540) 366-5248
- Fax
- (540) 366-5224
- NPI assigned
- Feb 2, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACADIA HEALTHCARE
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 27
-
Katie Askren, PHD, LPC, LSATP, NCC
-
Scarlet Huang, MA
-
Leann C Mays, LPN
-
Lequesha Miller, LPN
-
Cheri M Quinn, LPN
-
Callie Roberson, LPN
-
Tara Marie Torres, LPN
-
Catrice M Witcher, LPN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1023002 | Virginia Treatment Center, LLC | Certificate of waiver | Mar 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200107001757 | VA | Part B Supplier - Opioid Treatment Program (Otp) | 0446684088 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lynchburg, VA; Roanoke, VA |
National Provider Directory
- Tax ID family
- Virginia Treatment Center
- Part of
- Haven Behavioral Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1151
Phone (615) 861-6000
Other names
- Roanoke Treatment Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Roanoke, VA
- Virginia Pain & Spine Center
- Virginia Pain Center Inc.
- Virginia Polytechnic Institute and State University
- Virginia Prosthetics Inc
- Virginia Skin & Vein, LLC
- Virginia Treatment Center, LLC
- Virginia United Methodist Homes, Inc.
- Virginia Veterans Care Center Pharmacy
- Sonia Vishneski
- Vision Behavioral Health Services of VA.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.