COURAGE TO CHANGE, INC. — NPI 1912368176 (Licensed & Credentialed Foster Care Agency in EXETER, CA)

CMS-1500 Box 24J / 33a • NPI

1912368176

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

253J00000X

Licensed & Credentialed Foster Care Agency

Box 32 Service Location & ZIP+4

1230 N ANDERSON RD, EXETER, CA, 93221-9674

✓ 9-Digit EDI 837 ZIP+4 (93221-9674)

Practice Phone & Referral Fax

(559) 594-4855

Fax: (559) 594-0086

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912368176 (COURAGE TO CHANGE, INC.) 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	`1912368176` (NPI-2 Organization / Facility)
Provider / Legal Name	COURAGE TO CHANGE, INC.
Plain-English Specialty	Licensed & Credentialed Foster Care Agency NUCC Code: `253J00000X` (Foster Care Agency)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1230 N ANDERSON RD, EXETER, CA, 93221-9674
Practice Telephone / Fax	Tel: (559) 594-4855 \| Fax: (559) 594-0086
Administrative Mailing Address	252 HIGH SIERRA DR, EXETER, CA, 93221-9502
Enumeration & Last Sync	Enumerated: 2016-03-16 \| CMS Record Updated: 2016-03-16
Authorized Official	SUSAN GAMBINI (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1230 N ANDERSON RD, EXETER, CA, 93221-9674

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Plain-English Taxonomy & CMS Crosswalk (253J00000X)

What Does Taxonomy Code 253J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 253J00000X translates to:
"Licensed & Credentialed Foster Care Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Foster Care Agency for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COURAGE TO CHANGE, INC.)

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

Common Therapeutic Classes:

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
`3245S0500X` — Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	State: CA \| License: `540014BN` \| Primary: Secondary
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: CA \| License: `247200700` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COURAGE TO CHANGE, INC. (NPI #1912368176)