NPIMap

Organization Active NPI

Wright Directions Counseling Services

  • Marriage & Family Therapist
  • South Bend, IN
National Provider Identifier
1154899896
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WRIGHT DIRECTIONS COUNSELING SERVICES
Practice address
105 E Jefferson Blvd Ste 310
South Bend, IN 46601-1995
Phone
(574) 383-5859
Fax
(855) 387-0446
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Jeremiah M Wright, M.A.,L.M.F.T.NPI 1811105216
Title
Owner/Clinical Director
Phone
(574) 383-5859

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

105 E Jefferson Blvd Ste 310
South Bend, IN 46601-1995

Mailing address

105 E Jefferson Blvd Ste 310
South Bend, IN 46601-1995
Phone (574) 383-5859

Other names 1

  • Wright Directions Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

105 E Jefferson Blvd
Ste 310
South Bend, IN 46601
Phone (574) 383-5859

Practitioners & affiliated clinicians

Practitioners 5

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": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1154899896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E JEFFERSON BLVD STE 310",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011995",
            "telephone_number": "574-383-5859",
            "fax_number": "855-387-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JEFFERSON BLVD STE 310",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011995",
            "telephone_number": "574-383-5859",
            "fax_number": "855-387-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT DIRECTIONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "574-383-5859",
        "authorized_official_credential": "M.A.,L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Directions Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.