Organization Active NPI

Blue Ridge Mental Health

  • Adult Mental Health Clinic/Center
  • Leesburg, VA
National Provider Identifier
1851162010
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Katherine Bixby Hughes, NPNPI 1083960272
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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.