| New River Valley Community Services | |
|
700 University City Blvd Blacksburg VA 24060-2706 | |
| (540) 961-8300 | |
| (540) 961-8465 |
| Full Name | New River Valley Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 University City Blvd, Blacksburg, Virginia |
| Authorized Official Name and Position | Eva Duncan (BILLING MANAGER) |
| Authorized Official Contact | 5409618302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Valley Community Services 700 University City Blvd Blacksburg VA 24060-2706 Ph: (540) 961-8300 | New River Valley Community Services 700 University City Blvd Blacksburg VA 24060-2706 Ph: (540) 961-8300 |
| NPI Number | 1942304126 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Medicare PECOS PAC ID | 3173518230 |
|---|---|
| Medicare Enrollment ID | O20040417000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942304126 | NPI | - | NPPES |
| 004945191 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Marlon A Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518921642 PECOS PAC ID: 3173563087 Enrollment ID: I20050510001167 |
| Provider Name | Sarah K Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447329248 PECOS PAC ID: 3779585435 Enrollment ID: I20070208000418 |
| Provider Name | Sarah W Strang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629244710 PECOS PAC ID: 2860563517 Enrollment ID: I20080624000335 |
| Provider Name | Christopher B Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407026339 PECOS PAC ID: 1850457433 Enrollment ID: I20090305000677 |
| Provider Name | Victoria Bierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407810484 PECOS PAC ID: 9133278054 Enrollment ID: I20090526000506 |
| Provider Name | Karen Scalf-benham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609002310 PECOS PAC ID: 7719039601 Enrollment ID: I20090729000085 |
| Provider Name | Deborah S Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972682516 PECOS PAC ID: 5890834212 Enrollment ID: I20091124000682 |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073778585 PECOS PAC ID: 2365608809 Enrollment ID: I20120727000011 |
| Provider Name | Kelly Orourke Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093061962 PECOS PAC ID: 5294982443 Enrollment ID: I20120823000597 |
| Provider Name | Monique S Rash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689927691 PECOS PAC ID: 9032362827 Enrollment ID: I20130103000048 |
| Provider Name | Jerusalem Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972939981 PECOS PAC ID: 5698902880 Enrollment ID: I20131213001421 |
| Provider Name | Anne L Dornberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194919621 PECOS PAC ID: 3577794148 Enrollment ID: I20140324001963 |
| Provider Name | Carol A Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231257 PECOS PAC ID: 4880732312 Enrollment ID: I20140728001346 |
| Provider Name | Jessica L Winebarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053736728 PECOS PAC ID: 9537389317 Enrollment ID: I20140929001818 |
| Provider Name | Jerita Johanna Dubash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659697126 PECOS PAC ID: 5890938187 Enrollment ID: I20150922000592 |
| Provider Name | Erin L Brosius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477606515 PECOS PAC ID: 0143538223 Enrollment ID: I20151009001610 |
| Provider Name | Heather R Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181226 PECOS PAC ID: 7618287962 Enrollment ID: I20151117001340 |
| Provider Name | Jennifer Oley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366986648 PECOS PAC ID: 5991088023 Enrollment ID: I20170215000289 |
| Provider Name | Lindsey Heidrath Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225568934 PECOS PAC ID: 0042585978 Enrollment ID: I20171003006426 |
| Provider Name | Gloria M Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956278 PECOS PAC ID: 4284996471 Enrollment ID: I20180328001904 |
| Provider Name | Douglas R Eitel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275598989 PECOS PAC ID: 5991728933 Enrollment ID: I20180503001600 |
| Provider Name | Christina L Watty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093290223 PECOS PAC ID: 3779820485 Enrollment ID: I20190201002316 |
| Provider Name | Angela Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972073278 PECOS PAC ID: 4284971938 Enrollment ID: I20190204000891 |
| Provider Name | Heather Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184196842 PECOS PAC ID: 2163762634 Enrollment ID: I20190319003050 |
| Provider Name | Keith A Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497214803 PECOS PAC ID: 1254674989 Enrollment ID: I20190521003331 |
| Provider Name | Angelique Caley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588932149 PECOS PAC ID: 7618106394 Enrollment ID: I20190807002787 |
| Provider Name | David St. John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922650969 PECOS PAC ID: 0840521472 Enrollment ID: I20191014001739 |
| Provider Name | Stacy D Royall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417500307 PECOS PAC ID: 2466887864 Enrollment ID: I20200113001437 |
| Provider Name | Maya English |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437770096 PECOS PAC ID: 4385075647 Enrollment ID: I20200520003668 |
| Provider Name | Kimberly Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366020992 PECOS PAC ID: 3375951841 Enrollment ID: I20210421002709 |
| Provider Name | Kelly Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235705393 PECOS PAC ID: 5092115790 Enrollment ID: I20210617001623 |
| Provider Name | Kelli Lynch-o'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942974001 PECOS PAC ID: 4789633009 Enrollment ID: I20210920000975 |
| Provider Name | Kendra Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700532520 PECOS PAC ID: 8527453273 Enrollment ID: I20220316003223 |
| Provider Name | Terri Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144376609 PECOS PAC ID: 0547351678 Enrollment ID: I20220610002514 |
| Provider Name | Deanna Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689318123 PECOS PAC ID: 9335525732 Enrollment ID: I20221010000544 |
| Provider Name | Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841692027 PECOS PAC ID: 3971972894 Enrollment ID: I20221214003128 |
| Provider Name | Claire Elise Adomeit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639867435 PECOS PAC ID: 4486010410 Enrollment ID: I20230517003489 |
| Provider Name | Lauren Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215710074 PECOS PAC ID: 6709249378 Enrollment ID: I20230830000131 |
| Provider Name | Taylor Beasley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487438107 PECOS PAC ID: 0446608046 Enrollment ID: I20231120002971 |
| Provider Name | Amanda Lanoue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932715687 PECOS PAC ID: 2567810930 Enrollment ID: I20231122002969 |
| Provider Name | Caitlynn Brandon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376270082 PECOS PAC ID: 8628426996 Enrollment ID: I20231127002339 |
| Provider Name | Amanda Buckner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467050294 PECOS PAC ID: 0345698627 Enrollment ID: I20231127002885 |
| Provider Name | Emilee Dimitry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376215806 PECOS PAC ID: 8820446164 Enrollment ID: I20231128001884 |
| Provider Name | Ann Hively |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508302134 PECOS PAC ID: 6002264264 Enrollment ID: I20231128002844 |
| Provider Name | Ashley Hilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265844096 PECOS PAC ID: 5193173375 Enrollment ID: I20231128003804 |
| Provider Name | Maico Hu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487239216 PECOS PAC ID: 3274981485 Enrollment ID: I20231129001134 |
| Provider Name | Rebecca A Worrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700376290 PECOS PAC ID: 3274981311 Enrollment ID: I20231129002532 |
| Provider Name | Brenda Thompson Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568560845 PECOS PAC ID: 3072960855 Enrollment ID: I20231130003687 |
| Provider Name | Patricia Scott-cobb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477859106 PECOS PAC ID: 2365893286 Enrollment ID: I20240104003283 |
| Provider Name | Larissa Womack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538755608 PECOS PAC ID: 3678924826 Enrollment ID: I20240111003949 |
| Provider Name | Jessica Overturf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215579727 PECOS PAC ID: 5890146088 Enrollment ID: I20240112000374 |
| Provider Name | Elizabeth Del Hollingsworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083485049 PECOS PAC ID: 9830541283 Enrollment ID: I20240122001244 |
| Provider Name | Molly Everett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164189627 PECOS PAC ID: 8224474747 Enrollment ID: I20240307000021 |
| Provider Name | Melissa Cordell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316646326 PECOS PAC ID: 0941646475 Enrollment ID: I20240307000095 |
| Provider Name | Barbara Chrisley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174840458 PECOS PAC ID: 2163868696 Enrollment ID: I20240307000229 |
| Provider Name | Heather Mitchell Custer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780912261 PECOS PAC ID: 0143666511 Enrollment ID: I20240307001572 |
| Provider Name | Samantha Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174168769 PECOS PAC ID: 4183060577 Enrollment ID: I20240307002177 |
| Provider Name | Franklin Griffey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699408617 PECOS PAC ID: 6204272693 Enrollment ID: I20240307002434 |
| Provider Name | Ashley Ann Neel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932812880 PECOS PAC ID: 9739525130 Enrollment ID: I20240307002548 |
| Provider Name | Ashleigh Iannelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912694571 PECOS PAC ID: 6709222102 Enrollment ID: I20240307002706 |
| Provider Name | Anne Chamberlain Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104407626 PECOS PAC ID: 5698111094 Enrollment ID: I20240307002810 |
| Provider Name | Travis Bostic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487314225 PECOS PAC ID: 3678919073 Enrollment ID: I20240307002868 |
| Provider Name | Cynthia D Ritchey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104923192 PECOS PAC ID: 4587000930 Enrollment ID: I20240308000119 |
| Provider Name | Jennifer A Hopper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689378614 PECOS PAC ID: 2062858350 Enrollment ID: I20240308001932 |
| Provider Name | Joseph Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831457647 PECOS PAC ID: 1658717954 Enrollment ID: I20240308002170 |
| Provider Name | Karen Kreutzberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770125320 PECOS PAC ID: 7214373539 Enrollment ID: I20240308002926 |
| Provider Name | Carrie Frances Young-guard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750420980 PECOS PAC ID: 3476999723 Enrollment ID: I20240309000515 |
| Provider Name | Robert Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811476120 PECOS PAC ID: 7618314261 Enrollment ID: I20240319002496 |
| Provider Name | Victoria Morrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710674197 PECOS PAC ID: 6103263769 Enrollment ID: I20240319002805 |
| Provider Name | Katherine Altizer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588318224 PECOS PAC ID: 4082052246 Enrollment ID: I20240405003666 |
| Provider Name | Kathryn Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326634460 PECOS PAC ID: 7517305774 Enrollment ID: I20240405003720 |
| Provider Name | Leanne Hancock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366029522 PECOS PAC ID: 8224476486 Enrollment ID: I20240405003844 |
| Provider Name | Lisa Lisa Syed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366513111 PECOS PAC ID: 8123466380 Enrollment ID: I20240405003868 |
| Provider Name | Kylie Delpercio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962261073 PECOS PAC ID: 2567800741 Enrollment ID: I20240406000608 |
| Provider Name | Joe Wareing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114579760 PECOS PAC ID: 7517306137 Enrollment ID: I20240416001911 |
| Provider Name | Angela Devore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891565321 PECOS PAC ID: 3779922711 Enrollment ID: I20240423003627 |
| Provider Name | Anne Elizabeth O'hara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386499556 PECOS PAC ID: 0143660241 Enrollment ID: I20240506001470 |
| Provider Name | Maura Lesko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215523360 PECOS PAC ID: 3779923826 Enrollment ID: I20240506004767 |
| Provider Name | Melissa Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194340216 PECOS PAC ID: 4688014749 Enrollment ID: I20240506004833 |
| Provider Name | Lillian Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992565709 PECOS PAC ID: 3476994138 Enrollment ID: I20240513000472 |
| Provider Name | Julia Marin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801649603 PECOS PAC ID: 8022552827 Enrollment ID: I20240703003514 |
| Provider Name | Christopher Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881423507 PECOS PAC ID: 7214477231 Enrollment ID: I20240905001467 |
| Provider Name | Ashley Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093544751 PECOS PAC ID: 9234670225 Enrollment ID: I20240918000266 |
| Provider Name | Elizabeth Hope Bradbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487494290 PECOS PAC ID: 8628502283 Enrollment ID: I20241106000013 |
| Provider Name | Avigyil Buehler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447925532 PECOS PAC ID: 8224563242 Enrollment ID: I20241127000315 |
| Provider Name | Sarah Elizabeth Maxwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629809561 PECOS PAC ID: 8729513775 Enrollment ID: I20241127001412 |
Anne Jacobsen Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Church St Se Ste D, Blacksburg, VA 24060 Phone: 540-200-8399 | |
Altitude Iop, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 S Main St, Blacksburg, VA 24060 Phone: 540-953-5090 Fax: 540-953-5095 | |
The Cascade Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Professional Park Dr Se, Suite 4, Blacksburg, VA 24060 Phone: 540-951-4800 | |
Shine Bright Therapy & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1999 S Main St Ste 500d, Blacksburg, VA 24060 Phone: 540-392-2243 | |
Christine Duma Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 University City Blvd Ste 204, Blacksburg, VA 24060 Phone: 540-818-5655 | |
Fresh Focus Psychiatric Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 Davis St Ste D, Blacksburg, VA 24060 Phone: 304-887-7284 | |
Empath To Wellness Limited Liability Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Kraft Dr Ste 1202, Blacksburg, VA 24060 Phone: 540-739-2948 |