Change Up Behavioral Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGE UP BEHAVIORAL SERVICES, LLC.

Practice address

2408 Electric Rd Ste C
Roanoke, VA 24018-3523

Phone

(336) 986-4276

Fax

(540) 301-5821

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Casey Maurer, BA

Title

Ceo

Phone

(540) 598-9512

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1306646559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 WOODS AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164828",
            "telephone_number": "541-598-9512",
            "fax_number": "540-301-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 ELECTRIC RD STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183523",
            "telephone_number": "336-986-4276",
            "fax_number": "540-301-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE UP BEHAVIORAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-598-9512",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratyusha Chaluvadi
• Cassidy Paige Chambers, DPT
• Vikram K Chand, MD
• Andrew Chang, DO
• David Bai Chang
• Kristina Chanthavixay
• Caroline Cross Chapman
• Moriah M. Chapman, MS, CCC/SLP
• Trevar Chapmon, M.D.
• Jessaca Shonte Charite, DMD, MPH

• Community/Behavioral Health Agency in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.