Creative Change Counseling - Medicare Mental Health Clinic in Hickory, NC

Creative Change Counseling is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Hickory, North Carolina. The current practice location for Creative Change Counseling is 423 7th Ave Sw, Hickory, North Carolina. For appointments, you can reach them via phone at (609) 668-4719. The mailing address for Creative Change Counseling is 774 Eayrestown Rd, Suite 204, Lumberton, New Jersey and phone number is (609) 668-4719.

Creative Change Counseling is licensed to practice in New Jersey (license number ). The clinic also participates in the medicare program and its NPI number is 1053794065. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (609) 668-4719.

Contact Information

Creative Change Counseling
423 7th Ave Sw
Hickory
NC 28602-3237
(609) 668-4719
Not Available

Mental Health Clinic Profile

Full NameCreative Change Counseling
SpecialityClinic/Center
Location423 7th Ave Sw, Hickory, North Carolina
Authorized Official Name and PositionBertee Thomas (PROGRAM OPERATIONS EXECUTIVE DIRECT)
Authorized Official Contact6096684719
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Creative Change Counseling
774 Eayrestown Rd
Suite 204
Lumberton
NJ 08048-3100

Ph: (609) 668-4719
Creative Change Counseling
423 7th Ave Sw
Hickory
NC 28602-3237

Ph: (609) 668-4719

NPI Details:

NPI Number1053794065
Provider Enumeration Date07/08/2015
Last Update Date05/15/2022
Certification Date05/15/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9739587486
Medicare Enrollment IDO20240202001434

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Medical Identifiers

Medical identifiers for Creative Change Counseling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053794065NPI-NPPES
0506460MedicaidNJ
1053794065MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (New Jersey)Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (New Jersey)Primary

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