Organization Active NPI

Changing by Choice

  • Professional Counselor
  • Henrico, VA
National Provider Identifier
1801409438
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANGING BY CHOICE
Practice address
6001 Lakeside Ave Ste 23
Henrico, VA 23228-5748
Phone
(804) 495-3000
Fax
(804) 495-3003
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mrs. Arcelia Miller-Jackson, MA, MDIV, LPC, LSATPNPI 1912510405
Title
Ceo
Phone
(804) 495-3000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6001 Lakeside Ave Ste 23
Henrico, VA 23228-5748

Mailing address

2510 Edenbrook Dr
Henrico, VA 23228-3038
Phone (804) 420-5405

Other practice location 1

6290 Old Warwick Rd Ste B
Richmond, VA 23224-1473
Phone (804) 675-1001 ext. 101

National Provider Directory

National Provider Directory

Locations

6001 Lakeside Ave
Ste 23
Henrico, VA 23228
Phone (804) 495-3000

6290 Old Warwick Rd
Ste B
Richmond, VA 23224
Phone 8046751001 ext. 101

Practitioners & affiliated clinicians

Practitioners 2

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": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1801409438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 EDENBROOK DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232283038",
            "telephone_number": "804-420-5405",
            "fax_number": "804-495-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LAKESIDE AVE STE 23",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285748",
            "telephone_number": "804-495-3000",
            "fax_number": "804-495-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6290 Old Warwick Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232241473",
            "country_code": "US",
            "telephone_number": "804-675-1001 x101",
            "fax_number": "804-675-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGING BY CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MILLER-JACKSON",
        "authorized_official_first_name": "ARCELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-495-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MDIV, LPC, LSATP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.