Active NPI
Creating Change Counseling Center
- Community/Behavioral Health Agency
- Mount Arlington, NJ
National Provider Identifier
1477381143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATING CHANGE COUNSELING CENTER
- Practice address
- 181 Howard Blvd Ste J
Mount Arlington, NJ 07856-2314 - Phone
- (973) 703-4642
- Fax
- (973) 810-3010
- NPI assigned
- Jul 24, 2024
- 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
- Gloria Correa, LCSW
- Title
- Ceo/Clinician
- Phone
- (973) 703-4642
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
181 Howard Blvd Ste J
Mount Arlington, NJ 07856-2314
Mailing address
68 McGregor Ave
Mount Arlington, NJ 07856-1007
Phone (973) 703-4642
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Mount Arlington, NJ
- NPI 1912251455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1477381143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 MCGREGOR AVE",
"city": "MOUNT ARLINGTON",
"state": "NJ",
"postal_code": "078561007",
"telephone_number": "973-703-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 HOWARD BLVD STE J",
"city": "MOUNT ARLINGTON",
"state": "NJ",
"postal_code": "078562314",
"telephone_number": "973-703-4642",
"fax_number": "973-810-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATING CHANGE COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "CEO/CLINICIAN",
"authorized_official_telephone_number": "973-703-4642",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Arlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.