Active NPI
Center for Change LLC
- Mental Health Counselor
- Norfolk, VA
National Provider Identifier
1346629581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CENTER FOR CHANGE LLC
- Practice address
- 6325 N Center Dr Ste 202
Norfolk, VA 23502-0019 - Phone
- (757) 544-5020
- Fax
- (757) 227-3642
- NPI assigned
- May 20, 2015
- 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
- Ulysess Gray
- Title
- President
- Phone
- (757) 544-5020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6325 N Center Dr Ste 202
Norfolk, VA 23502-0019
Mailing address
909 Audubon Cir
Chesapeake, VA 23320-0663
Phone (757) 544-5020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432080000000",
"number": "1346629581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AUDUBON CIR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200663",
"telephone_number": "757-544-5020",
"fax_number": "757-227-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 N CENTER DR STE 202",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235020019",
"telephone_number": "757-544-5020",
"fax_number": "757-227-3642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "ULYSESS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-544-5020"
},
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Henry Xavier Cedeno Ramos, MD
- Cedric D Pinckens MD
- Melanie Cena
- Cencare Home Health Solutions LLC
- Center for Advanced Psychological Services
- Center for Excellence
- Center for Personal Growth & Change
- Center for Psychological Assessment & Therapeutics, Inc
- Centerwell Senior Primary Care VA CS PC
- Centerwell Senior Primary Care VA PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.