LIFE'S JOURNEY – Adult Mental Health Clinic/Center, NPI 1639533672
Adult Mental Health Clinic/Center
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LIFE'S JOURNEY
1003 NORFOLK SQ
NORFOLK, VA 235023234
Phone: (757) 622-0700
Fax: (757) 622-2400
Type: Mailing
2551 ELTHAM AVE STE F
NORFOLK, VA 235132505
Phone: (757) 622-0700
Fax: (757) 622-2400
Type: Mailing
1424 McNeal Ave
Norfolk, VA 235022017
Phone: (757) 622-0700
Fax: (757) 622-2400
Type: Location
1401, Tidewater Drive, Huntersville, Norfolk, Virginia, 23504, United States
SUITE 7
NORFOLK, VA 235042840
Phone: (757) 714-6528
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (165 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201228000040 | O | Clinic/Group Practice | VA | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23502)
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