Individual provider Active NPI

Keona Wright, LMFT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Brunswick, NJ
National Provider Identifier
1265117568
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
002232 Issued in NY
Practice address
873 US Route 1 # 1174
North Brunswick, NJ 08902-3345
Phone
(732) 444-7716
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00032500 NJ
Marriage & Family Therapist 106H00000X 3060 CT
Marriage & Family Therapist 106H00000X 002232 NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 002232 NY Primary

Addresses

Primary practice location

873 US Route 1 # 1174
North Brunswick, NJ 08902-3345

Mailing address

873 US Route 1 # 1174
North Brunswick, NJ 08902-3345
Phone (732) 444-7716

Other practice location 1

19 Ludlow Rd Ste 302
Westport, CT 06880-3040
Phone (203) 684-0734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3060CTMDPsychologist
37FA00032500NJMDMarriage & Family Therapist
002232NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1265117568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 US ROUTE 1 # 1174",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023345",
            "telephone_number": "732-444-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 US ROUTE 1 # 1174",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023345",
            "telephone_number": "732-444-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Ludlow Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068803040",
            "country_code": "US",
            "telephone_number": "203-684-0734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEONA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00032500",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3060",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002232",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "002232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.