Organization Active NPI

Changing Lives Mental Health Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesapeake, VA
National Provider Identifier
1427985183
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHANGING LIVES MENTAL HEALTH FOUNDATION
Practice address
4406 Indian River Rd
Chesapeake, VA 23325-3131
Phone
(912) 247-9567
Fax
(804) 884-3702
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Catrina Arnicka Banks, QMHP
Title
Owner
Phone
(912) 247-9567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4406 Indian River Rd
Chesapeake, VA 23325-3131

Mailing address

4406 Indian River Rd
Chesapeake, VA 23325-3131
Phone (912) 247-9567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1427985183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253131",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253131",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES MENTAL HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_middle_name": "ARNICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-247-9567",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.