Real Life

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REAL LIFE

Practice address

1111 N 25TH St
Richmond, VA 23223-5238

Phone

(804) 406-4111

Fax

(804) 294-2775

NPI assigned

Feb 3, 2026

Organization subpart

No

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

Authorized official

Name

Jason Herzog

Title

Manager

Phone

(804) 955-5246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1487505814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27372",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232617372",
            "telephone_number": "804-406-4111",
            "fax_number": "804-294-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235238",
            "telephone_number": "804-406-4111",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-955-5246"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Brandon Ream, MPT, CSCS
• Jason Daniel Reardon, MD
• Terence Derrell Reaves, LCSW
• John Frederick Reavey-Cantwell, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.