STAR BEHAVIORAL HEALTH, PLLC

What STAR BEHAVIORAL HEALTH, PLLC does

Star Behavioral Health, PLLC (operating as Star Behavioral Health and Roanoke TMS) is a privately held interventional psychiatry practice headquartered at 3505 Brambleton Avenue in Roanoke, Virginia. Founded by Pamela Ruppel, PMHNP-BC, with Dr. Randy Ruppel serving as Medical Director, the practice delivers non-invasive and pharmacologic interventional treatments for treatment-resistant depression, OCD, and smoking addiction. Its core clinical offering combines Spravato (esketamine) nasal spray — administered under a REMS-certified protocol — with BrainsWay Deep Transcranial Magnetic Stimulation using the patented H-coil design, including the H4 Coil for smoking cessation. Supporting services include medication management (currently waitlist-closed), brief psychotherapy, Genesight pharmacogenetic testing, in-office lab monitoring, and group therapy.

The practice operates as a specialist provider in a referral-driven model: patients must present documentation from a primary care provider, counselor, therapist, or psychiatrist, and the practice manages insurance authorization (typically 2–3 weeks). It accepts major commercial payers (Anthem, Aetna, United Healthcare, Optum, Sentara, Molina, Magellan, Cigna) as well as Medicaid (which covers Spravato at 100%) and Medicare, with CareCredit financing offered for uninsured patients. With six employees and a single clinic location, the practice has reportedly performed more than 6,000 Spravato treatments over approximately three years, drawing patients from across Virginia and holding the position of the only BrainsWay Deep TMS provider in the Roanoke Valley. Distribution is direct in-person care supplemented by healthcare-provider referrals; patient acquisition is supported by a website, educational blog, Google Business listing, LinkedIn, and Facebook.

The revenue model is recurring per-treatment, with Spravato and TMS billed as outpatient sessions and medication management billed per psychiatric visit. Pricing varies by insurance plan (100% coverage, copay, or deductible/coinsurance), with the SpravatoWithMe copay assistance program reducing medication cost to $10 per treatment for commercially insured patients. The practice is founder-owned and family-operated, with no disclosed institutional investors or private equity backing, and has secured the Roanoke Times Best Of Award for 2024 as a regional credibility marker.

Name

STAR BEHAVIORAL HEALTH, PLLC

Legal name

Star Behavioral Health, PLLC

Website

https://starhealthroanoke.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

Star Behavioral Health, PLLC is a Roanoke, Virginia interventional psychiatry practice providing REMS-certified Spravato and BrainsWay Deep TMS treatments for treatment-resistant depression, OCD, and smoking cessation, serving patients across Virginia on a referral basis.

Ownership category

akta.pro rank

Product category

Interventional Psychiatry

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Outpatient Mental Health and Substance Abuse Centers (62142), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL)

Keywords

• Interventional psychiatry
• Transcranial magnetic stimulation
• Esketamine treatment
• Treatment resistant depression
• Behavioral health services

Headquarters

HQ city

Roanoke

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Spravato Treatment Billing: Billed in two portions: medication (provided by specialty pharmacy) and office visit for administration and monitoring. Commercial insurance covered via SpravatoWithMe copay assistance program.
2. TMS Therapy Billing: Billed as outpatient treatment sessions; costs vary by insurance plan with coverage ranging from 100% to copay to deductible/coinsurance requirements.
3. Medication Management: Currently limited to established patients only; billing for psychiatric assessments, diagnoses, and medication management services.
4. Self-Pay and CareCredit: Self-pay option available for uninsured patients; CareCredit financing offered as payment plan option.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

Star Behavioral Health is an interventional psychiatry practice that administers Spravato (esketamine) nasal spray under REMS-certified supervision and BrainsWay Deep TMS therapy for adults with treatment-resistant depression, OCD, and smoking addiction. The Roanoke, Virginia clinic also provides medication management, brief psychotherapy, pharmacogenetic (Genesight) testing, in-office lab monitoring, and group therapy as a comprehensive behavioral health offering.

Product overview

Star Behavioral Health and Roanoke TMS operates as an interventional psychiatry practice offering a portfolio of treatment modalities centered on non-medication approaches to mental health. The core offerings include Spravato (esketamine) nasal spray for treatment-resistant depression and Deep TMS therapy using Brainsway technology for depression, OCD, and smoking addiction. Supporting services include medication management, brief psychotherapy, pharmacogenetic testing (Genesight), in-office lab monitoring, and group therapy. The practice positions itself as the only Deep TMS provider in the Roanoke Valley area.

Differentiator

Problem solved

Functional benefit

Products and services

• Spravato (Esketamine) Nasal Spray Treatment

Quantifiable outcome

• Over 6,000 Spravato treatments performed in approximately 3 years with many patients achieving remission from depression
• +2 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered core and minor.

• BrainsWaycoreTechnology or IntegrationBrainsWay is the provider of Deep TMS technology used at the practice. The BrainsWay Deep TMS machine is the only FDA-approved TMS device for treating Major Depressive Disorder, OCD, and smoking cessation. The practice uses BrainsWay's patented H-coil design for broader and deeper brain stimulation. The H4 Coil specifically targets addiction-related brain structures.
• Spravato (Janssen Pharmaceuticals)coreTechnology or IntegrationSpravato (esketamine) is an FDA-approved nasal spray for treatment-resistant depression and acute suicidal ideation. The practice is a REMS-certified Spravato treatment center. SpravatoWithMe provides copay assistance reducing medication cost to $10 per treatment for commercially insured patients.
• CareCreditminorChannel Partner/ Reseller/ DistributorCareCredit healthcare financing is offered as a payment option for patients who are uninsured or have high out-of-pocket costs for treatment.
• Integrative Psychiatry InstituteminorStrategic or Co-development PartnerStaff members complete fellowships at the Integrative Psychiatry Institute for psychedelic-assisted therapy certification and training. The practice is affiliated with this institute for continuing education and certification programs.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Talkiatry: Tech-enabled psychiatry practice platform offering in-network psychiatric evaluation and medication management — broader mental health services model that overlaps in target patient segment.
• MindPath Health: Large multi-state outpatient behavioral health platform providing psychiatric evaluation, therapy, medication management, and TMS — broader portfolio but overlapping specialty services and patient base.
• Cerebral: Large online mental health platform providing medication management and therapy for anxiety, depression, and ADHD — broader portfolio targeting similar patient demographics.

Direct peers

• Amen Clinics: Specialty psychiatry clinics offering TMS, SPECT imaging, and interventional treatments for depression, OCD, and addiction — directly comparable interventional psychiatry model.
• Serenity Mental Health Centers: Multi-state psychiatric practice offering TMS, Spravato/ketamine, medication management, and interventional psychiatry for treatment-resistant depression and anxiety — closely aligned service portfolio.
• Mindful Health Solutions: Outpatient interventional psychiatry group offering TMS, esketamine (Spravato), and medication management for treatment-resistant mood disorders — directly comparable services and patient cohort.
• Pacific Mind Health: Interventional psychiatry practice offering TMS, Spravato, ketamine, and medication management for treatment-resistant depression, anxiety, and OCD — directly comparable service mix.
• Greenbrook TMS (TMS NeuroHealth Centers): Largest U.S. network of TMS treatment centers offering Deep TMS and Spravato for treatment-resistant depression, OCD, and smoking cessation — directly comparable specialty service mix and patient population.

Others

• Neuronetics (NeuroStar): Manufacturer of NeuroStar TMS devices and operator of TMS treatment centers; comparable through shared TMS technology platform and acquired Greenbrook in 2024 to consolidate the interventional psychiatry channel.
• BrainsWay: Manufacturer of the Deep TMS H-coil system used by Star Behavioral Health and other specialty clinics; provides the underlying FDA-cleared hardware for depression, OCD, and smoking cessation treatment.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/roanoketms
• LinkedInlinkedin.com/company/star-behavioral-health-pllc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about STAR BEHAVIORAL HEALTH, PLLC