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CREATIVE CHANGE COUNSELING
NPI 1053794065
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hickory, NC

Active since July 08, 2015
423 7TH AVE SW, HICKORY, NC 28602(609) 668-4719 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2022, Feb 8, 2022 (2 updates tracked since 2022).

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

NPI1053794065
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCREATIVE CHANGE COUNSELING
Location Address423 7TH AVE SWHickory, NC 28602-3237
Mailing Address774 Eayrestown Rd, Suite 204Lumberton, NJ 08048-3100 · (609) 668-4719
Phone(609) 668-4719
Organization SubpartNo
Authorized OfficialBertee ThomasProgram Operations Executive Direct · (609) 668-4719
Enumeration DateJuly 8, 2015
Last NPPES UpdateMay 15, 20222 updates tracked since enumeration
NPPES CertifiedMay 15, 2022
✔ NPI 1053794065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
423 7TH AVE SW, Hickory, NC 28602
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Secondary Practice Location 1

Location 1668 Main St Ste 204Lumberton, NJ 08048-5016 · Phone (609) 668-4719

Other Identifiers 2

Medicaid0506460NJ
Medicaid1053794065NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2264414

Creative Change Counseling · Hamilton, NJ
Expired · Jul 13, 2026
CLIA Number31D2264414
Laboratory TypeSubstance Use Disorder F
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 13, 2026
Laboratory DirectorDoctor Bertee Thomas
Laboratory Phone(609) 668-4719
Laboratory LocationCreative Change Counseling3525 Quakerbridge Road, Suite 903, Hamilton, NJ 08619
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN R SEESE LCAS-A
Counselor (Addiction (Substance Use Disorder))
423 7TH AVE SW
HICKORY, NC 28602
Catawba County (828) 327-6026

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.

When was this NPI record last updated?

The NPPES record for Creative Change Counseling was last updated on May 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.