Organization Active NPI

Changeover Virtual Counseling

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1326847708
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANGEOVER VIRTUAL COUNSELING
Practice address
2608 Magnolia St
Portsmouth, VA 23704-6029
Phone
(434) 728-6255
NPI assigned
Mar 10, 2025
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Tiera Williams, EDD,LPC-SNPI 1790272565
Title
Doctor
Phone
(434) 728-6255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

2608 Magnolia St
Portsmouth, VA 23704-6029

Mailing address

2608 Magnolia St
Portsmouth, VA 23704-6029
Phone (434) 728-6255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@changeovervirtualcounseling.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411000375 VA Part B Supplier - Clinic/Group Practice 6507388246 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1326847708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 MAGNOLIA ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046029",
            "telephone_number": "434-728-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 MAGNOLIA ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046029",
            "telephone_number": "434-728-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEOVER VIRTUAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIERA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "434-728-6255",
        "authorized_official_credential": "EDD,LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@changeovervirtualcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2608 Magnolia St",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "237046029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 10, 2025; 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.