STAR CITY THERAPY SERVICES
NPI 1629610035
Clinic/Center - Adolescent and Children Mental Health in Roanoke, VA

Active since October 17, 2019
4220 CYPRESS PARK DR STE B, ROANOKE, VA 24018(540) 772-1872 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Star City Therapy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR CITY THERAPY SERVICES (NPI 1629610035) is a healthcare organization registered as an adolescent and children mental health in Roanoke, Virginia and active in the NPI registry since October 2019. The organization lists Holly Mccloud, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629610035
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSTAR CITY THERAPY SERVICES
Location Address4220 CYPRESS PARK DR STE BRoanoke, VA 24018-8403
Mailing Address3618 Brambleton Ave Ste DRoanoke, VA 24018-3659 · (540) 206-8265 · Fax (540) 266-1735
Organization SubpartNo
Authorized OfficialHolly MccloudCeo · (540) 206-2865
Enumeration DateOctober 17, 2019
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1629610035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
4220 CYPRESS PARK DR STE B, Roanoke, VA 24018

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Star City Therapy Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Star City Therapy Services, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Marriage and Family Therapist
NPI 1770966111
3618 BRAMBLETON AVE STE D
Roanoke, VA 24018
(540) 206-8265
✔ PECOS✔ Accepts Medicare1.5 mi
Mental Health Counselor
NPI 1316804032
3618 BRAMBLETON AVE STE D
Roanoke, VA 24018
(540) 354-0965
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1619505328
3005 PETERS CREEK RD NW
Roanoke, VA 24019
(540) 556-4034
✔ PECOS6.5 mi
Mental Health Counselor
NPI 1962113639
100 ARBOR DR STE 105
Christiansburg, VA 24073
(540) 250-5246
✔ PECOS25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star City Therapy Services's NPI number?

The NPI number for Star City Therapy Services is 1629610035. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Star City Therapy Services located?

Star City Therapy Services is located at 4220 Cypress Park Dr Ste B, Roanoke, VA 24018. The listed phone number is (540) 772-1872.

What is Star City Therapy Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Star City Therapy Services enrolled in Medicare?

Yes. Star City Therapy Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Star City Therapy Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Star City Therapy Services, in Clinical Social Worker, Marriage and Family Therapist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Star City Therapy Services was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.