Keith C. Wright Sr., ICADC, CSAC, ADC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2058 Issued in NC

Practice address

230 New Bridge St
Jacksonville, NC 28540-4708

Phone

(910) 389-6714

Fax

(910) 347-4037

NPI assigned

Mar 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1023258985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404708",
            "telephone_number": "910-389-6714",
            "fax_number": "910-347-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404708",
            "telephone_number": "910-389-6714",
            "fax_number": "910-347-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEITH",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ICADC, CSAC, ADC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Wortham, BCBA
• WP-Jacksonville Health Holdings, LLC
• Kathleen M Wrenn, RPH
• Dawn Y Wright, LPC
• Hadassah Wright
• Kerri Elizabeth Wright, OTR/L
• Lakasha Akisha Wright, FNP-BC
• Tammie Wright
• Tammy L Wright, LPC
• William Joseph Wrightington Jr., RBT

• Addiction (Substance Use Disorder) Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.