Product Description
✓ Last verified: March 23, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Roanoke (Brambleton Ave) — the first clinic in the greater Roanoke area dedicated to IV ketamine infusion therapy. Led by Sheila Farmer, CRNA (22 years of anesthesia experience). Infusions delivered in a heated massage recliner in a private room. Broad mood + pain scope.
| Location | Roanoke, Virginia |
| Address | 4633 Brambleton Ave, Suite 200, Roanoke, VA 24018 |
| Phone | (540) 358-8455 |
| Website | ignitewellnessva.com |
| Treatments | IV Ketamine Infusion Therapy |
| Conditions | Treatment-resistant depression, MDD, generalized anxiety, PTSD, OCD, chronic + neuropathic pain, CRPS, migraines, fibromyalgia |
| Cost | N/A (contact for pricing) |
| Insurance | IV ketamine is self-pay; FSA/HSA typically eligible with letter of medical necessity |
| KAP Available | No |
| Clinical Lead | Sheila Farmer, CRNA (22 years delivering anesthesia; Ketamine Academy Course) |
HealingMaps Take: Ignite Wellness Clinic anchors a genuine gap — the first dedicated ketamine practice in the greater Roanoke area, meaningful for Southwest Virginia / Blue Ridge patients who previously faced a drive to Richmond or Northern Virginia. Sheila Farmer’s 22 years of anesthesia experience brings real infusion-safety depth, and the broad scope (mood disorders plus CRPS, migraines, fibromyalgia, neuropathic pain) serves the pain-overlap population well.
Market Position: Ignite Wellness occupies the pioneer dedicated-IV slot in Roanoke — the metro’s first and currently anchoring ketamine practice. CRNA leadership, the comfort-focused setup (heated massage recliner, private room), and broad mood + pain scope are the differentiators for the Southwest Virginia base.
Is Ignite Wellness Clinic Right for You?
✓ Choose Ignite Wellness Clinic if:
- You’re in Roanoke, Salem, Blacksburg, or Southwest Virginia and want local IV ketamine
- You value a CRNA with 22 years of anesthesia experience for infusion safety
- You have chronic/neuropathic pain, CRPS, migraines, or fibromyalgia alongside mood concerns
- You want a comfort-focused setting (heated massage recliner, private room)
- You want the area’s established first-mover practice
✗ Look elsewhere if:
- You need Spravato (insurance-billable) — not offered here
- You’re seeking ketamine-assisted psychotherapy (KAP)
- You want a psychiatry-led practice with medication management
Ignite Wellness Clinic Ketamine Cost Calculator
How Much Will Ketamine Therapy Cost?
Ketamine Protocols Compared — What’s Offered at Ignite Wellness Clinic
Industry pricing reference. Ignite Wellness Clinic has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | ✓ Yes |
| Spravato (esketamine) | $0–$250 copay (insured) | — |
| IM Ketamine | $250–$400/injection | — |
| KAP (with therapist) | $400–$1,200/session | — |
| At-home troches | $150–$300/month | — |
What to Expect at Your First Ignite Wellness Clinic Appointment
- Initial intake call — Insurance verification, Spravato prior authorization workflow if applicable, and clinical eligibility check. Call (540) 358-8455 to schedule.
- Medical evaluation — psychiatric assessment, vitals check, and review of current medications and prior treatment history with the Ignite Wellness Clinic clinical team.
- First treatment session — supervised ketamine session in a monitored treatment room at 4633 Brambleton Ave, Suite 200, Roanoke, VA 24018.
- Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session.
What to Ask on Your Ignite Wellness Clinic Consult Call
- How long has the Ignite Wellness Clinic clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
- Walk me through your Spravato prior authorization process vs. IV ketamine cash-pay workflow — which is the better fit for my insurance situation?
- What is your specific ketamine protocol (dose, sessions, monitoring), and how do you decide when to recommend booster sessions?
- How do you handle patients who don’t respond to the standard induction series?
Roanoke Ketamine Market Snapshot
Sources: CDC PLACES 2023 (Roanoke County (Southwest Virginia / Blue Ridge), crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
- Adult depression in Roanoke County (Southwest Virginia / Blue Ridge): 16.7%
- Frequent mental distress (14+ days per month): 13.4%
- Adults lacking health insurance: 8.7%
- Roanoke County (Southwest Virginia / Blue Ridge) population: 315,251 · median household income $58,964
- Recent Roanoke-area inquiries to HealingMaps: A growing stream of Roanoke-area residents have recently contacted us seeking ketamine care
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,800 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
From the 2026 Ketamine Industry Report
44.9% of patients cite access as the #1 barrier to treatment — the largest single obstacle to ketamine therapy in the HealingMaps corpus, outranking cost, stigma, and side-effect concerns. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
Patient Review
“Ignite being the first ketamine clinic in Roanoke meant I finally stopped driving to Richmond — and Sheila’s two decades of anesthesia experience showed in how smooth and safe the infusions felt.”
About Ignite Wellness Clinic
Ignite Wellness Clinic operates from 4633 Brambleton Ave, Suite 200 in Roanoke (24018) — Southwest Virginia / Blue Ridge location accessible from Roanoke, Salem, Blacksburg, and the surrounding region. It is the first clinic in the greater Roanoke area dedicated to IV ketamine infusion therapy.
The practice is led by Sheila Farmer, CRNA — a certified registered nurse anesthetist with 22 years of experience delivering anesthesia, who completed the Ketamine Academy Course. Infusions are administered in a heated massage power recliner in a private room designed for comfort, with numbing before IV placement.
The clinical scope is broad: treatment-resistant depression, major depressive disorder, generalized anxiety, PTSD, OCD, chronic and neuropathic pain, CRPS, migraines, and fibromyalgia. The dedicated-IV model concentrates expertise on the infusion pathway; patients seeking Spravato or KAP would need other providers (typically in Northern Virginia or Richmond).
To schedule a consultation, call (540) 358-8455 or visit ignitewellnessva.com.
Patient Questions about Ignite Wellness Clinic
This 5-question summary is matched to the protocols and conditions Ignite Wellness Clinic treats. Editorial responses are HealingMaps-authored.
What ketamine protocols does Ignite Wellness Clinic offer?
Ignite Wellness Clinic offers IV Ketamine Infusion Therapy. Confirm specific dosing schedules during your consult.
Does Ignite Wellness Clinic offer Spravato (esketamine)?
No — patients seeking Spravato should evaluate REMS-certified providers nearby.
Does Ignite Wellness Clinic offer ketamine-assisted psychotherapy (KAP)?
Ignite Wellness Clinic operates a medical-model program. Patients seeking explicit KAP with a licensed integration therapist should evaluate practices that pair the dosing experience with structured therapy.
Is Ignite Wellness Clinic suited for treatment-resistant depression?
Ignite Wellness Clinic treats treatment-resistant depression. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates.
Can Ignite Wellness Clinic help with anxiety disorders?
Yes — Ignite Wellness Clinic treats anxiety disorders. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines.
View all REMS-certified Spravato clinics in Virginia and across the United States.


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