CREATIVE CHANGE COUNSELING
NPI 1053794065
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hickory, NC
About Creative Change Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREATIVE CHANGE COUNSELING (NPI 1053794065) is a healthcare organization registered as a mental health (including community mental health center) in Hickory, North Carolina and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Lumberton and lists Bertee Thomas, Program Operations Executive Direct, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Creative Change Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Creative Change Counseling, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Creative Change Counseling's NPI number?
The NPI number for Creative Change Counseling is 1053794065. It was assigned to this organization in the NPPES registry on July 8, 2015.
Where is Creative Change Counseling located?
Creative Change Counseling is located at 423 7th Ave SW, Hickory, NC 28602. The listed phone number is (609) 668-4719.
What is Creative Change Counseling's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Creative Change Counseling enrolled in Medicare?
Yes. Creative Change Counseling is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Creative Change Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Creative Change Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Creative Change Counseling was last updated on May 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Creative Change Counseling · NPI 1053794065
Mental Health (Including Community Mental Health Center) organization in Hickory, North Carolina. Organization record, active in the CMS NPPES registry since July 8, 2015.
## Identity
- **NPI:** 1053794065 (Entity type: Organization)
- **Enumerated:** July 8, 2015
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Bertee Thomas, PROGRAM OPERATIONS EXECUTIVE DIRECT
## Practice location
- **Address:** 423 7TH AVE SW, Hickory, NC 28602-3237
- **Phone:** (609) 668-4719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2022
- **Other identifiers:** Medicaid 0506460 (NJ); Medicaid 1053794065 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1053794065) · Data from the CMS NPPES public registry.