Changing Lives Therapeutic Service, LLC
NPI 1891317657 · Community/Behavioral Health Agency · Danville, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Changing Lives Therapeutic Service, LLC is a Community/Behavioral Health Agency organization in Danville, VA (NPI 1891317657).
Provider details
- NPI number
- 1891317657
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Cemetrius Rolle, Co-Owner(980) 833-1121
Specialties & taxonomies
Agencies
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Changing Lives Therapeutic Service,llc
- Doing business as
- Changing Lives Therapeutic Service,llc
Additional practice locations (1)
- 8825 University East Dr Ste 200Charlotte, NC 28213-4395Phone: (980) 883-1121
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Frequently asked questions
- What is Changing Lives Therapeutic Service, LLC's NPI number?
- Changing Lives Therapeutic Service, LLC's National Provider Identifier (NPI) is 1891317657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Lives Therapeutic Service, LLC?
- Changing Lives Therapeutic Service, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Changing Lives Therapeutic Service, LLC located?
- Changing Lives Therapeutic Service, LLC's practice location on file with NPPES is 413 Mount Cross Rd Ste 102, Danville, VA 24540-4089.
- What is Changing Lives Therapeutic Service, LLC's phone number?
- The practice phone number listed in the NPPES registry for Changing Lives Therapeutic Service, LLC is (888) 388-8726.
- Does Changing Lives Therapeutic Service, LLC accept Medicare?
- Changing Lives Therapeutic Service, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Changing Lives Therapeutic Service, LLC?
- The authorized official listed on Changing Lives Therapeutic Service, LLC's NPPES record is Cemetrius Rolle, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Lives Therapeutic Service, LLC's NPI active?
- Yes — Changing Lives Therapeutic Service, LLC's NPI (1891317657) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.