Organization Active NPI

Changin' You

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
National Provider Identifier
1124878988
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGIN' YOU
Practice address
7639 Hull Street Rd Ste 102
North Chesterfield, VA 23235-6438
Phone
(804) 502-2167
Fax
(804) 709-3919
NPI assigned
Mar 25, 2024
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamise Brown, LPC,LSATP, SOTP,PH.DNPI 1134892599
Title
Ceo
Phone
(813) 562-2925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

7639 Hull Street Rd Ste 102
North Chesterfield, VA 23235-6438

Mailing address

6415 Omo Rd
North Chesterfield, VA 23234-5881
Phone (813) 562-2925

Other practice location 1

6415 Omo Rd
North Chesterfield, VA 23234-5881
Phone (813) 562-2925

Other practice location 2

7641 Hull Street Rd Ste 102
North Chesterfield, VA 23235-6444
Phone (804) 502-2167 ext. 22167

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL changinyoullc.biz Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607000369 VA Part B Supplier - Clinic/Group Practice 3476095316 Receives reassigned benefits from 1 practitioner
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

7639 Hull Street Rd
Ste 102
North Chesterfield, VA 23235
Phone (804) 502-2167

7641 Hull Street Rd
Ste 102
North Chesterfield, VA 23235
Phone 8045022167 ext. 22167

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1124878988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 OMO RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345881",
            "telephone_number": "813-562-2925",
            "fax_number": "807-709-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7639 HULL STREET RD STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356438",
            "telephone_number": "804-502-2167",
            "fax_number": "804-709-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6415 Omo Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232345881",
            "country_code": "US",
            "telephone_number": "813-562-2925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7641 Hull Street Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232356444",
            "country_code": "US",
            "telephone_number": "804-502-2167 x22167",
            "fax_number": "804-709-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGIN' YOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-562-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC,LSATP, SOTP,PH.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "changinyoullc.biz",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "address_1": "7639 Hull Street Rd Ste 102",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232356438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.