Active NPI
Creative Counseling Solutions
- Community/Behavioral Health Agency
- Wayne, NJ
National Provider Identifier
1013612548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATIVE COUNSELING SOLUTIONS
- Practice address
- 661 State Route 23
Wayne, NJ 07470-6814 - Phone
- (862) 881-2988
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Theresa McDougal Murray, LCSW
- Title
- President
- Phone
- (862) 881-2988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
661 State Route 23
Wayne, NJ 07470-6814
Mailing address
478 Passaic Ave
West Caldwell, NJ 07006-7447
Phone (862) 881-2988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
661 State Route 23
Wayne, NJ 07470
Phone (862) 881-2988
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Wayne, NJ
- NPI 1366767360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682121600000",
"number": "1013612548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 PASSAIC AVE",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "070067447",
"telephone_number": "862-881-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 STATE ROUTE 23",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706814",
"telephone_number": "862-881-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE COUNSELING SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-22",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "MCDOUGAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "862-881-2988",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
- County of Passaic Department of Finance (Preakness Healthcare Center)
- Garrick A Cox, MD
- CPL Oak Ridge LLC (Oak Ridge Rehabilitation & Nursing Center)
- CPL Oak Ridge LLC (Oak Ridge Rehabilitation & Nuring Center)
- Shawn M Crabtree, M.D.
- Mayra Crespo, APN
- Nicholas Desai Crider
- Criticare Medical Products, LLC
- Kerry A Cron, MS CCC SLP
- Linda H Cronk, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.