Organization Active NPI

Be the Change Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Renton, WA
National Provider Identifier
1730030990
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BE THE CHANGE CLINIC LLC
Practice address
540 S 50TH St Unit B
Renton, WA 98055-8316
Phone
(619) 410-7137
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Ahmed Khalif
Title
Ceo
Phone
(619) 410-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

540 S 50TH St Unit B
Renton, WA 98055-8316

Mailing address

540 S 50TH St Unit B
Renton, WA 98055-8316
Phone (619) 410-7137

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1730030990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S 50TH ST UNIT B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980558316",
            "telephone_number": "619-410-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S 50TH ST UNIT B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980558316",
            "telephone_number": "619-410-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE CHANGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "KHALIF",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-410-7137"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.