Keith Colbert, LCADC, CCFC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

F18736 Issued in NJ

Practice address

21-29 Wagner Place
Irvington, NJ 07111-1861

Phone

(973) 399-3132

Fax

(973) 399-7552

NPI assigned

Oct 27, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Irvington Counseling Center, Inc.

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1356377113

  Counselor

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003992512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21-29 WAGNER PLACE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111861",
            "telephone_number": "973-399-3132",
            "fax_number": "973-399-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21-29 WAGNER PLACE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111861",
            "telephone_number": "973-399-3132",
            "fax_number": "973-399-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "KEITH",
        "credential": "LCADC, CCFC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "F18736",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00011300",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW00619000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeide Alane Chillis
• City Urgent Care, P.C.
• Clarke Center Community Options
• Renee M Cochrane Pucciarelli, DMD
• Louise Cohen, CSW
• Collaborative Connections LLC (Collaborative Connections)
• Comfort Behavioral Health Care LLC
• Comfort Zone Healthcare Inc
• Comfort Zone Healthcare Inc (Comfort Zone Home Healthcare)
• Community Assist Services

• Counselor in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.