1. Home
  2. Directory
  3. New Jersey
  4. Lakewood
  5. Clinic Center
  6. NPI Profile

CREATIVE CHANGE COUNSELING, INC.
NPI 1861073504
Clinic/Center - Rehabilitation, Substance Use Disorder in Lakewood, NJ

Active since April 15, 2021
322 E 5TH ST, LAKEWOOD, NJ 08701(609) 577-4310(609) 667-7944 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CREATIVE CHANGE COUNSELING, INC.

This page provides the complete NPI Profile along with additional information for Creative Change Counseling, Inc., a provider established in Lakewood, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1861073504 assigned on April 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Bertee Thomas Jr. Psy.d. (Ceo)

NPI
1861073504 Verify this NPI
Provider Name
CREATIVE CHANGE COUNSELING, INC.
Entity Type
Organization
Location Address
322 E 5TH ST LAKEWOOD, NJ 08701
Location Phone
(609) 577-4310
Location Fax
(609) 667-7944
Mailing Address
774 EAYRESTOWN RD STE 204 LUMBERTON, NJ 08048
Mailing Phone
(609) 668-4719
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-15-2021
Last Update Date
04-15-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BERTEE THOMAS JR. PSY.D.

Authorized Official Title
CEO
Authorized Official Phone
(609) 668-4719

Reviews for CREATIVE CHANGE COUNSELING, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

CREATIVE CHANGE COUNSELING, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
322 E 5TH ST
LAKEWOOD, NJ 08701
Ocean County (609) 668-4719
CREATIVE CHANGE COUNSELING, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
322 E 5TH ST
LAKEWOOD, NJ 08701
Ocean County (609) 668-4719
JEROME ROBINSON ED.S, LPC, LCADC
Counselor (Professional)
322 E 5TH ST
LAKEWOOD, NJ 08701
Ocean County (609) 577-4310

Frequently Asked Questions

What is CREATIVE CHANGE COUNSELING, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1861073504, enumerated as an "organization" on April 15, 2021.

Where is the provider located?

The provider is located at 322 E 5TH ST LAKEWOOD, NJ 08701 and the phone number is (609) 577-4310.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.