Organization Active NPI

Change22, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
National Provider Identifier
1952150831
Registry record updated May 14, 2024
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
CHANGE22, LLC
Practice address
733 Thimble Shoals Blvd
Suite 170, Office 102
Newport News, VA 23606-4260
Phone
(757) 347-0450
Fax
(757) 347-0460
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Brian Strode, LPCNPI 1851877203
Title
Member
Phone
(757) 347-0450

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 1

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

Addresses

Primary practice location

733 Thimble Shoals Blvd
Suite 170, Office 102
Newport News, VA 23606-4260

Mailing address

733 Thimble Shoals Blvd
Suite 170, Office 102
Newport News, VA 23606-4260
Phone (757) 347-0450

National Provider Directory

National Provider Directory

Locations

733 Thimble Shoals Blvd
Ste 170
Newport News, VA 23606
Phone (757) 537-8224

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1952150831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 170, OFFICE 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064260",
            "telephone_number": "757-347-0450",
            "fax_number": "757-347-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 170, OFFICE 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064260",
            "telephone_number": "757-347-0450",
            "fax_number": "757-347-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE22, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "STRODE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-347-0450",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.