ACTIVE CHANGE CENTER
NPI 1497028161
Counselor - Professional in Meridian, ID

Q: What is Active Change Center, LLC's NPI number?

The NPI number for Active Change Center, LLC is 1497028161. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Active Change Center.

Q: What is Active Change Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since February 10, 2012

2498 N STOKESBERRY PL., SUITE 180, MERIDIAN, ID 83646(208) 403-7488(208) 529-1960 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Active Change Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE CHANGE CENTER (NPI 1497028161) is a healthcare organization registered as a professional in Meridian, Idaho and active in the NPI registry since February 2012. The organization lists Danny Lee Rasco, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1497028161

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameACTIVE CHANGE CENTER, LLC

Location Address2498 N STOKESBERRY PL., SUITE 180Meridian, ID 83646

Mailing AddressP.o. Box 409Meridian, ID 83680-0409 · (208) 403-7488 · Fax (208) 529-1960

Phone(208) 403-7488

Fax(208) 529-1960

Organization SubpartNo

Authorized OfficialDanny Lee RascoBilling Agent · (208) 201-9513

Enumeration DateFebruary 10, 2012

Last NPPES UpdateJuly 12, 2022

NPPES CertifiedJuly 12, 2022

✔ NPI 1497028161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LCPC206

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2498 N STOKESBERRY PL., Meridian, ID 83646

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Other Names 1

Doing Business AsActive Change Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Change Center, LLC's NPI number?

The NPI number for Active Change Center, LLC is 1497028161. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Active Change Center.

Where is Active Change Center, LLC located?

Active Change Center, LLC is located at 2498 N Stokesberry Pl. Suite 180, Meridian, ID 83646. The listed phone number is (208) 403-7488.

What is Active Change Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Active Change Center, LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.