Active NPI
Creating Chances of Change Behavioral & Mental Health Services
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Portsmouth, VA
National Provider Identifier
1083422604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- CREATING CHANCES OF CHANGE BEHAVIORAL & MENTAL HEALTH SERVICES
- Practice address
- 355 Crawford St
Portsmouth, VA 23704-2816 - Phone
- (833) 774-9633
- NPI assigned
- Dec 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keenen Mapp
- Title
- Director
- Phone
- (833) 774-9633
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
355 Crawford St
Portsmouth, VA 23704-2816
Mailing address
355 Crawford St
Portsmouth, VA 23704-2816
Phone (833) 774-9633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1083422604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CRAWFORD ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042816",
"telephone_number": "833-774-9633",
"fax_number": "888-623-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CRAWFORD ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042816",
"telephone_number": "833-774-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATING CHANCES OF CHANGE BEHAVIORAL & MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "MAPP",
"authorized_official_first_name": "KEENEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "833-774-9633"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.