CREATIVE CHANGE COUNSELING, INC. (NPI# 1336794007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336794007 |
| Entity Type | Organization |
| Organization Name | CREATIVE CHANGE COUNSELING, INC. |
| Practice Address |
774 Eayrestown Rd Lumberton NJ 08048-3100 |
| Practice Telephone | 6092216817 |
| Practice Fax Number | 6096677944 |
| Mailing Telephone | 6092216817 |
| Mailing Fax Number | 6096677944 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | DR. BERTEE THOMAS JR. (CEO) |
| Authorized Official Telephone | 6096677353 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846403 | Creative Change Counseling, Inc. | Community/Behavioral Health | 774 Eayrestown Rd, Lumberton, NJ 08048 | 2020-06-23 |
| Street Address |
774 EAYRESTOWN RD |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720054703 | Sheryl Marie Markley | Physical Therapist | 774 Eayrestown Rd, Lumberton Holly Office Center, Lumberton, NJ 08048-3100 | 2006-02-28 |
| 1356949739 | Sheryl Markley Pt LLC | Clinic/Center | 774 Eayrestown Rd, Lumberton, NJ 08048 | 2020-10-16 |
| 1396350302 | Cinella Brannon | Counselor | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2020-09-15 |
| 1144846403 | Creative Change Counseling, Inc. | Community/Behavioral Health | 774 Eayrestown Rd, Lumberton, NJ 08048 | 2020-06-23 |
| 1366964793 | Striving for Harmony | Social Worker | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2017-07-07 |
| 1891215471 | Alicia Marie Furey | Occupational Therapist | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2017-06-23 |
| 1649627431 | Bertee Thomas Jr. | Counselor | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2016-05-21 |
| 1053794065 | Creative Change Counseling | Psychologist | 774 Eayrestown Rd, Suite 204, Lumberton, NJ 08048-3100 | 2015-07-08 |
| 1295169563 | Lindsay Ann Hutchison | Counselor | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2013-08-22 |
| 1528337854 | Deanna Benner Counseling Services, LLC | Social Worker | 774 Eayrestown Rd, Lumberton, NJ 08048-3100 | 2011-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235795014 | Creative Change Counseling | Substance Abuse Rehabilitation Facility | 774 Eayrestown Rd Ste 204, Lumberton, NJ 08048-3100 | 2019-05-16 |
| 1376812891 | Robeson Health Care Corporation | Substance Abuse Rehabilitation Facility | 661 Burns Rd, Lumberton, NC 28358-9116 | 2011-12-29 |
| 1851674394 | Robeson County Offender Resource Center | Substance Abuse Rehabilitation Facility | 120 W 6th St, Lumberton, NC 28358-5541 | 2011-09-21 |
| 1205076973 | New Life Services Inc. | Substance Abuse Rehabilitation Facility | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3197 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
| 1982218228 | New Pathway Counseling Services | Substance Abuse Rehabilitation Facility | 20 Powers Dr, Paramus, NJ 07652-2911 | 2020-09-03 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1891318077 | The Shore Detox LLC | Substance Abuse Rehabilitation Facility | 30 W Jimmie Leeds Rd, Galloway, NJ 08205-9421 | 2020-05-22 |
| 1619598968 | Mountainside - Ramsey | Substance Abuse Rehabilitation Facility | 500 N Franklin Tpke Ste 304, Ramsey, NJ 07446-1160 | 2020-04-28 |
| 1184244691 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 223 Polk Ln, Bridgeton, NJ 08302-5904 | 2020-04-24 |
| 1922628502 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 101 Madison Ave Ste 205, Morristown, NJ 07960-7305 | 2020-04-23 |
| 1760002331 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 1930 Marlton Pike E Ste O77, Cherry Hill, NJ 08003-4204 | 2020-04-23 |
| 1396376018 | Cooper Center for Healing and Recovery, LLC | Substance Abuse Rehabilitation Facility | 761 Cuthbert Blvd, Cherry Hill, NJ 08002-3417 | 2020-01-31 |
| 1295395408 | Coleman Addiction Medicine, P.C. | Substance Abuse Rehabilitation Facility | 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 | 2019-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.