Active NPI
Blue Ridge Mental Health
- Adult Mental Health Clinic/Center
- Leesburg, VA
National Provider Identifier
1851162010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BLUE RIDGE MENTAL HEALTH
- Practice address
- 722 E Market St # V79
Leesburg, VA 20176-3255 - Phone
- (571) 569-0560
- NPI assigned
- Jan 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Bixby Hughes, NP
- Title
- Owner
- Phone
- (571) 334-9759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
722 E Market St # V79
Leesburg, VA 20176-3255
Mailing address
1198 Hawling PL SW
Leesburg, VA 20175-5084
Phone (571) 334-9759
Other practice location 1
1198 Hawling Pl SW
Leesburg, VA 20175-5084
Phone (571) 334-9759
Other names 1
- Blue Ridge Mental Health, Pllc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240411001502 | DC | Part B Supplier - Clinic/Group Practice | 5395184287 |
Receives reassigned benefits from 1 practitioner Practice locations: Leesburg, VA |
| O20240626000161 | VA | Part B Supplier - Clinic/Group Practice | 5395184287 |
Receives reassigned benefits from 2 practitioners Practice locations: Leesburg, VA |
National Provider Directory
National Provider DirectoryLocations
722 E Market St
#V79
Leesburg, VA 20176
Phone (571) 569-0560
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Leesburg, VA
- NPI 1083960272
DC, VA
-
- Psychiatric/Mental Health Nurse Practitioner
- St Augustine, FL
- NPI 1619577566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1851162010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 HAWLING PL SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201755084",
"telephone_number": "571-334-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 E MARKET ST # V79",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763255",
"telephone_number": "571-569-0560"
}
],
"practiceLocations": [
{
"address_1": "1198 Hawling Pl SW",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201755084",
"country_code": "US",
"telephone_number": "571-334-9759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLUE RIDGE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "BIXBY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-334-9759",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Ridge Mental Health, Pllc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.