A CHANGE COUNSELING CENTER — NPI 1881084473 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in TACOMA, WA)

CMS-1500 Box 24J / 33a • NPI

1881084473

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0405X (CMS D5)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

4002 S M ST, SUITE C, TACOMA, WA, 98418-3800

✓ 9-Digit EDI 837 ZIP+4 (98418-3800)

Practice Phone & Referral Fax

(253) 473-1844

Fax: (928) 708-9620

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881084473 (A CHANGE COUNSELING CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1881084473` (NPI-2 Organization / Facility)
Provider / Legal Name	A CHANGE COUNSELING CENTER
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0405X` (Clinic/Center, Rehabilitation, Substance Use Disorder)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	4002 S M ST, SUITE C, TACOMA, WA, 98418-3800
Practice Telephone / Fax	Tel: (253) 473-1844 \| Fax: (928) 708-9620
Administrative Mailing Address	4002 S M ST, TACOMA, WA, 98418-3800
Enumeration & Last Sync	Enumerated: 2015-02-03 \| CMS Record Updated: 2015-02-03
Authorized Official	JOHN LEDOUX (Facility Coordinator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4002 S M ST, SUITE C, TACOMA, WA, 98418-3800

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Plain-English Taxonomy & CMS Crosswalk (261QR0405X)

What Does Taxonomy Code 261QR0405X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0405X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code D5 (Opioid Treatment Program)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A CHANGE COUNSELING CENTER)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: WA \| License: `27125700` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A CHANGE COUNSELING CENTER (NPI #1881084473)