Creative Change Counseling
NPI 1053794065 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hickory, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Creative Change Counseling is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Hickory, NC (NPI 1053794065).
Provider details
- NPI number
- 1053794065
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bertee Thomas, Program Operations Executive Direct(609) 668-4719
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 668 Main St Ste 204Lumberton, NJ 08048-5016Phone: (609) 668-4719
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2022-05-15
- Certified
- 2022-05-15
Frequently asked questions
- What is Creative Change Counseling's NPI number?
- Creative Change Counseling's National Provider Identifier (NPI) is 1053794065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creative Change Counseling?
- Creative Change Counseling is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Creative Change Counseling located?
- Creative Change Counseling's practice location on file with NPPES is 423 7th Ave Sw, Hickory, NC 28602-3237.
- What is Creative Change Counseling's phone number?
- The practice phone number listed in the NPPES registry for Creative Change Counseling is (609) 668-4719.
- Does Creative Change Counseling accept Medicare?
- Creative Change Counseling is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Creative Change Counseling?
- The authorized official listed on Creative Change Counseling's NPPES record is Bertee Thomas, Program Operations Executive Direct. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creative Change Counseling's NPI active?
- Yes — Creative Change Counseling's NPI (1053794065) is active in the NPPES registry as of the last update on 2022-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.