Creative Change Counseling

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CREATIVE CHANGE COUNSELING

Doing business as

Creative Change Counseling

Practice address

10504 Bruton Rd
Dallas, TX 75217-3105

Phone

(214) 772-0226

Fax

(972) 767-3471

NPI assigned

Mar 11, 2020

Organization subpart

Yes

Parent organization

CL COUNSELING PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal LopezNPI 1902279557

Title

Owner

Phone

(214) 772-0226

Specialties & licenses 1

Addresses

Other names 1

• Creative Change Counseling Doing business as

Tax ID family

CL Consulting PLLC2 organizations share this tax ID, including this one

Part of

CL Consulting PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CL Consulting PLLC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1114558756
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Lopez, LPC-S

  • Professional Counselor
  • Dallas, TX
  • NPI 1902279557
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1023643947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173105",
            "telephone_number": "214-772-0226",
            "fax_number": "972-767-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173105",
            "telephone_number": "214-772-0226",
            "fax_number": "972-767-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHANGE COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CL COUNSELING PLLC",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-772-0226"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Change Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Change Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M Creagan, M.D.
• Latisha Creagh, LCSW
• Peggy Kay Creasy, PAC
• Creating Harmony
• Creating Voices, PLLC
• Creative Minds TX LLC
• Credence Home Health Services, Inc.
• Reece Logan Credeur, PT, DPT
• Roald Credo, MD, MS
• Annalisa Tuyet Bui Creech, FNP

• Adolescent and Children Mental Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.