Active NPI
Changing Lives Mental Health Foundation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
- Last updated
- May 6, 2026
- 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
- Catrina Arnicka Banks, QMHP
- Title
- Owner
- Phone
- (912) 247-9567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
4406 Indian River Rd
Chesapeake, VA 23325
Phone (757) 215-8255
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chesapeake, VA
- NPI 1063889897
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.