Timeka She'Ree Wright, M.S, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1564 Issued in LA

Practice address

645 Highway 80 E
Monroe, LA 71203-8527

Phone

(318) 343-8744

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• MS PPO D-SNP
• MS PPO C-SNP
• LA PPO C-SNP
• MS PPO

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.

• Positive Pathways Behavioral Health: Treatment and Recovery, LLC

  dba PPBH: Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Jackson, MS
  • NPI 1962163287
  Medicare reassignment NPD Authorized official
• Positive Pathways, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vicksburg, MS
  • NPI 1801335492

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1013390640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115B OPENWOOD ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832533",
            "telephone_number": "601-813-5878",
            "fax_number": "601-501-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 HIGHWAY 80 E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038527",
            "telephone_number": "318-343-8744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115B Openwood St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "39183",
            "country_code": "US",
            "telephone_number": "601-813-5878",
            "fax_number": "601-501-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIMEKA",
        "middle_name": "SHE'REE",
        "name_prefix": "Miss",
        "credential": "M.S, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473407869",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Worthy
• Andreana Wright
• Devanae Samone Wright
• Howard Wright, M.D.
• Joanna Wright, D.C.
• Stormy Lynn Wroten, CIT
• Bhanu P Wunnava, MBBS
• Chelsea Je'Nae Wyatt
• Earnest Christopher Wyatt Jr.
• Emily Bass Wyatt, ST

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.