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Active Change Center, LLC

Professional Counselor in Meridian, ID · enumerated 2012 · authorized official Danny Rasco, Billing Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497028161

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Registry record

Entity type Organization (Type 2)
Legal business name Active Change Center, LLC
Other name <Unavail>
Practice address 2498 N Stokesberry Pl., Suite 180, Meridian, ID, 83646
Phone (208) 403-7488
Fax (208) 529-1960
Enumeration date Feb 10, 2012
Last updated in NPPES Jul 12, 2022

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License LCPC206 (ID) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Danny Rasco
Title Billing Agent
Phone (208) 201-9513

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-12. Verify at npiregistry.cms.hhs.gov.
Where is Active Change Center, LLC located?
The practice location on file with NPPES is in Meridian, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-12.