NPIMap

Organization Active NPI

X Change Recovery

Doing business as XChange Behavioral Health Agency

  • Addiction (Substance Use Disorder) Counselor
  • Ridgefield, WA
National Provider Identifier
1033736491
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
X CHANGE RECOVERY
Doing business as
XChange Behavioral Health Agency
Practice address
21810 NE 37TH Ave
Ridgefield, WA 98642-7747
Phone
(844) 777-9242
Fax
(360) 397-7477
NPI assigned
Jul 1, 2020
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mandy Powell
Title
Billing Specialist
Phone
(844) 777-9242

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU
Peer Specialist 175T00000X NU

Addresses

Primary practice location

21810 NE 37TH Ave
Ridgefield, WA 98642-7747

Mailing address

21810 NE 37TH Ave
Ridgefield, WA 98642-7747
Phone (844) 777-9242

Other practice location 1

3021 NE 72nd Dr Ste 1
Vancouver, WA 98661-7300
Phone (844) 777-9242

Other names 1

  • XChange Behavioral Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundational Community Support2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3021 NE 72nd Dr
Ste 1
Vancouver, WA 98661
Phone (844) 777-9242

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1033736491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 NE 37TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427747",
            "telephone_number": "844-777-9242",
            "fax_number": "360-397-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 NE 37TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427747",
            "telephone_number": "844-777-9242",
            "fax_number": "360-397-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 NE 72nd Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986617300",
            "country_code": "US",
            "telephone_number": "844-777-9242",
            "fax_number": "360-397-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "X CHANGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "844-777-9242"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XChange Behavioral Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.