MOUNTAIN PSYCHIATRIC, LLC
NPI 1720404841
Psychiatry & Neurology - Psychiatry in Roanoke, VA
About Mountain Psychiatric, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN PSYCHIATRIC, LLC (NPI 1720404841) is a healthcare organization registered as a psychiatry in Roanoke, Virginia and active in the NPI registry since March 2014. The organization lists Jennifer Colorado, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain Psychiatric, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Psychiatric, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mountain Psychiatric, LLC's NPI number?
The NPI number for Mountain Psychiatric, LLC is 1720404841. It was assigned to this organization in the NPPES registry on March 13, 2014.
Where is Mountain Psychiatric, LLC located?
Mountain Psychiatric, LLC is located at 5115 Bernard Dr Suite 105, Roanoke, VA 24018. The listed phone number is (540) 728-1570.
What is Mountain Psychiatric, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mountain Psychiatric, LLC enrolled in Medicare?
Yes. Mountain Psychiatric, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Psychiatric, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mountain Psychiatric, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountain Psychiatric, LLC was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mountain Psychiatric, Llc · NPI 1720404841
Psychiatry organization in Roanoke, Virginia. Organization record, active in the CMS NPPES registry since March 13, 2014.
## Identity
- **NPI:** 1720404841 (Entity type: Organization)
- **Enumerated:** March 13, 2014
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Jennifer Colorado, CREDENTIALING
## Practice location
- **Address:** 5115 BERNARD DR, SUITE 105, Roanoke, VA 24018-4357
- **Phone:** (540) 728-1570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1720404841) · Data from the CMS NPPES public registry.