Active Change Center, LLC
NPI 1497028161ActiveOrganization· Counselor, Professional· Meridian, ID
Counselor, Professional in Meridian, Idaho, registered in NPPES in February 2012. The authorized official on file is Danny Lee Rasco, Billing Agent.
Overview
| NPI | 1497028161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2012 |
| Last updated in NPPES | Jul 12, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | LCPC206 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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