P Praxis·MD
● Active Type 2 · Organization

Active Change Center, Llc

Counselor·Meridian, ID· NPI 1497028161 · Enumerated 2012 · 14 years on NPI
Active Change Center, Llc is 1 of 1313 counselor organizations in Idaho.
NPI age
14 years
Enumerated 2012-02-10
Primary specialty
Counselor
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rasco
Billing Agent
Last NPPES update
2022-07-12
Source: monthly bulk 2026-05

How this organization compares

Across 1313 active counselor providers in Idaho.

NPI age
14 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
2498 N Stokesberry Pl., Suite 180
Meridian, ID 83646
📞 2084037488fax 2085291960
Mailing address
P.o. Box 409
Meridian, ID 836800409
📞 2084037488fax 2085291960

Authorized official

Danny Lee Rasco
Billing Agent
📞 2082019513

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC206 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ACTIVE CHANGE CENTER
    Type code 3 recorded 2022-07-12
  • ACTIVE CHANGE CENTER
    Type code 3 recorded 2012-02-10

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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