| Mount Rogers Community Services | |
|
770 W Ridge Rd Wytheville VA 24382-1046 | |
| (276) 223-3200 | |
| (276) 223-0617 |
| Full Name | Mount Rogers Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 770 W Ridge Rd, Wytheville, Virginia |
| Authorized Official Name and Position | Renae Jones (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 2762233200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Rogers Community Services 770 W Ridge Rd Wytheville VA 24382-1046 Ph: (276) 223-3200 | Mount Rogers Community Services 770 W Ridge Rd Wytheville VA 24382-1046 Ph: (276) 223-3200 |
| NPI Number | 1255365599 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Medicare PECOS PAC ID | 1254387475 |
|---|---|
| Medicare Enrollment ID | O20050510001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255365599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ruth R Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609830710 PECOS PAC ID: 5991754228 Enrollment ID: I20050113000678 |
| Provider Name | Gil Pamittan Binarao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356322085 PECOS PAC ID: 3476516527 Enrollment ID: I20050126000129 |
| Provider Name | Melissa D Futreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013937101 PECOS PAC ID: 6901852995 Enrollment ID: I20050323000300 |
| Provider Name | Jasdeep Miglani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326014853 PECOS PAC ID: 9931149150 Enrollment ID: I20050506000603 |
| Provider Name | Marlon A Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518921642 PECOS PAC ID: 3173563087 Enrollment ID: I20050510001167 |
| Provider Name | Napoleon M Cuenco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841237211 PECOS PAC ID: 1153353230 Enrollment ID: I20050909000401 |
| Provider Name | Debra S Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396886149 PECOS PAC ID: 2668572553 Enrollment ID: I20070706000247 |
| Provider Name | Laurie H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770784142 PECOS PAC ID: 2163513615 Enrollment ID: I20070813000349 |
| Provider Name | Marilou V Inocalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932163375 PECOS PAC ID: 1557456092 Enrollment ID: I20070928000484 |
| Provider Name | Maria C Abeleda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871554907 PECOS PAC ID: 5890880330 Enrollment ID: I20070928000505 |
| Provider Name | James W Nachbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477741098 PECOS PAC ID: 1557441284 Enrollment ID: I20080107000717 |
| Provider Name | Brian D Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588638068 PECOS PAC ID: 8224183645 Enrollment ID: I20100215000638 |
| Provider Name | Patricia C Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225092828 PECOS PAC ID: 5092841502 Enrollment ID: I20100408000409 |
| Provider Name | Teresa L Fullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578880647 PECOS PAC ID: 5991838476 Enrollment ID: I20100804000677 |
| Provider Name | Amy R Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841254018 PECOS PAC ID: 4789869520 Enrollment ID: I20110421000298 |
| Provider Name | Beverly Faye Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639165137 PECOS PAC ID: 9830342625 Enrollment ID: I20130103000069 |
| Provider Name | Sherry L Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659532778 PECOS PAC ID: 5799851853 Enrollment ID: I20130104000326 |
| Provider Name | Theresa T Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124395892 PECOS PAC ID: 1456505288 Enrollment ID: I20130204000145 |
| Provider Name | Jason D Poston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841635380 PECOS PAC ID: 6002057692 Enrollment ID: I20130724000372 |
| Provider Name | Kimberly Carol Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205094174 PECOS PAC ID: 2062659600 Enrollment ID: I20140602001416 |
| Provider Name | Kimberly A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315839 PECOS PAC ID: 1052692803 Enrollment ID: I20170110001397 |
| Provider Name | Emil William Sandstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215464292 PECOS PAC ID: 8628343324 Enrollment ID: I20171005002328 |
| Provider Name | Carl Thurman Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005989 PECOS PAC ID: 9335191477 Enrollment ID: I20180801003936 |
| Provider Name | Joshua A Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487140562 PECOS PAC ID: 0941552228 Enrollment ID: I20181015002914 |
| Provider Name | Robert Baranowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407305055 PECOS PAC ID: 6709121718 Enrollment ID: I20181219003299 |
| Provider Name | Alexa F Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346876877 PECOS PAC ID: 8729408612 Enrollment ID: I20201014002476 |
| Provider Name | Casey R Tibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194460667 PECOS PAC ID: 4789064486 Enrollment ID: I20220711003642 |
| Provider Name | Amin Ella Faiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215216684 PECOS PAC ID: 4385053917 Enrollment ID: I20240214000102 |
| Provider Name | April Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417638222 PECOS PAC ID: 6608210034 Enrollment ID: I20240214000201 |
| Provider Name | Amanda P Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548931264 PECOS PAC ID: 3779522701 Enrollment ID: I20240215002545 |
| Provider Name | April W Akers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316187974 PECOS PAC ID: 3678917887 Enrollment ID: I20240215002747 |
| Provider Name | Cassandra E Untiedt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093598286 PECOS PAC ID: 0749624963 Enrollment ID: I20240215002851 |
| Provider Name | Kelly R Cassell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255723912 PECOS PAC ID: 5496199622 Enrollment ID: I20240215003169 |
| Provider Name | Jennifer L Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104432491 PECOS PAC ID: 2668816430 Enrollment ID: I20240220002853 |
| Provider Name | Leah Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376174581 PECOS PAC ID: 0840634622 Enrollment ID: I20240220003280 |
| Provider Name | Julia N Fitchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589654 PECOS PAC ID: 9436593167 Enrollment ID: I20240221000645 |
| Provider Name | Cheri Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871175927 PECOS PAC ID: 0749624203 Enrollment ID: I20240223000327 |
| Provider Name | Carrie L Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336844646 PECOS PAC ID: 2264877224 Enrollment ID: I20240229000925 |
| Provider Name | Michael A Cobler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467416065 PECOS PAC ID: 5496190365 Enrollment ID: I20240301000725 |
| Provider Name | Erin K Boyington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376184804 PECOS PAC ID: 6800231549 Enrollment ID: I20240304002232 |
| Provider Name | Holly A Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720869837 PECOS PAC ID: 0547605248 Enrollment ID: I20240305000361 |
| Provider Name | Jackie S Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538799465 PECOS PAC ID: 4688019284 Enrollment ID: I20240305000604 |
| Provider Name | Tracy C Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245842756 PECOS PAC ID: 1658716295 Enrollment ID: I20240305001900 |
| Provider Name | Kimberly B Bryd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306125786 PECOS PAC ID: 9830535822 Enrollment ID: I20240313000754 |
| Provider Name | Kala Ayers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164959672 PECOS PAC ID: 3870939879 Enrollment ID: I20240313001044 |
| Provider Name | Sherry R Blackburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851175004 PECOS PAC ID: 3971949801 Enrollment ID: I20240313002594 |
| Provider Name | Kerri Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861521783 PECOS PAC ID: 1658432885 Enrollment ID: I20240320000746 |
| Provider Name | Robert M Sturdivant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962669689 PECOS PAC ID: 2567809650 Enrollment ID: I20240325003452 |
| Provider Name | Opal P Carrico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942762984 PECOS PAC ID: 9234577487 Enrollment ID: I20240405003265 |
| Provider Name | Rose R Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396439378 PECOS PAC ID: 9234577362 Enrollment ID: I20240409000731 |
| Provider Name | Natalie N Burcham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780282509 PECOS PAC ID: 3173962065 Enrollment ID: I20240411001299 |
New River Behavioral Health And Associates,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 W Main St Ste 204, Wytheville, VA 24382 Phone: 276-223-0234 Fax: 276-223-0123 | |
Starting Point Of Wytheville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 W Ridge Rd Ste I, Wytheville, VA 24382 Phone: 800-805-6989 | |
Southwestern Virginia Counseling And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 W Main St Ste A, Wytheville, VA 24382 Phone: 276-228-6900 Fax: 276-228-6910 | |
Ashley Ihrig Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W Main St, Suite B, Wytheville, VA 24382 Phone: 276-546-8388 Fax: 276-546-8733 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Piney Mountain Rd, Wytheville, VA 24382 Phone: 276-238-8885 Fax: 276-238-8822 | |
Cassandra Simpson, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 S 1st St, Wytheville, VA 24382 Phone: 276-920-9900 |