Organization Active NPI

Creating Change Counseling Center

  • Community/Behavioral Health Agency
  • Mount Arlington, NJ
National Provider Identifier
1477381143
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Gloria Correa, LCSWNPI 1912251455
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.