CMS-1500 Box 24J / 33a • NPI
1902662984
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251S00000X
Licensed & Credentialed Community/Behavioral Health
Box 32 Service Location & ZIP+4
840 CANTON GRASS LN, LA MARQUE, TX, 77568-1007
✓ 9-Digit EDI 837 ZIP+4 (77568-1007)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902662984 (CHANGE AGENTS OF SOCIAL SERVICES) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1902662984 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CHANGE AGENTS OF SOCIAL SERVICES |
| Plain-English Specialty | Licensed & Credentialed Community/Behavioral Health NUCC Code: 251S00000X (Community/Behavioral Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 840 CANTON GRASS LN, LA MARQUE, TX, 77568-1007 |
| Practice Telephone / Fax | Tel: (702) 305-0652 |
| Administrative Mailing Address | 840 CANTON GRASS LN, LA MARQUE, TX, 77568-1007 |
| Enumeration & Last Sync | Enumerated: 2024-02-26 | CMS Record Updated: 2024-02-26 |
| Authorized Official | JADEN HINES (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251S00000X)
What Does Taxonomy Code 251S00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHANGE AGENTS OF SOCIAL SERVICES)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Secondary |
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: N/A | License: Verified | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: N/A | License: Verified | Primary: Secondary |
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: N/A | License: Verified | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: N/A | License: Verified | Primary: Secondary |
373H00000X — Day Training/Habilitation SpecialistPlain English: Licensed & Credentialed Day Training/Habilitation Specialist | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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