CREATIVE CHANGE COUNSELING
NPI 1841813722
Clinic/Center - Adolescent and Children Mental Health in Lumberton, NJ

Active since May 26, 2020
774 EAYRESTOWN RD STE 204, LUMBERTON, NJ 08048(609) 668-4719 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Creative Change Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE CHANGE COUNSELING (NPI 1841813722) is a healthcare organization registered as an adolescent and children mental health in Lumberton, New Jersey and active in the NPI registry since May 2020. The organization lists Bertee Thomas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841813722
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCREATIVE CHANGE COUNSELING
Location Address774 EAYRESTOWN RD STE 204Lumberton, NJ 08048-3100
Mailing Address774 Eayrestown Rd Ste 204Lumberton, NJ 08048-3100 · (609) 668-4719
Organization SubpartNo
Authorized OfficialBertee ThomasCeo · (609) 667-7353
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1841813722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
774 EAYRESTOWN RD STE 204, Lumberton, NJ 08048

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation 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).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20211011000372Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Creative Change Counseling, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1699349399
14 RANDOLPH DR
Mount Holly, NJ 08060
(609) 267-1647
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1043872765
765 ROUTE 70 E BLDG A-101
Marlton, NJ 08053
(856) 797-4800
✔ PECOS7.9 mi
Clinical Social Worker
NPI 1467623223
832 BRUNSWICK AVE
Trenton, NJ 08638
(609) 396-8877
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1124700679
2840 ROLLING FORK WAY
Glenwood, MD 21738
(609) 668-4719
✔ PECOS✔ Accepts Medicare128 mi

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 1841813722. It was assigned to this organization in the NPPES registry on May 26, 2020.

Where is Creative Change Counseling located?

Creative Change Counseling is located at 774 Eayrestown Rd Ste 204, Lumberton, NJ 08048. 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 Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Creative Change Counseling enrolled in Medicare?

Yes. Creative Change Counseling is registered in the Medicare PECOS enrollment system.

When is Creative Change Counseling's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Creative Change Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice within 10 miles. 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 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.