Individual provider Active NPI

Vernice L Wright, EDD,LCPC, CADC, CODP

  • Mental Health Counselor
  • Waukegan, IL
National Provider Identifier
1285019166
Registry record updated May 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.009793 Issued in IL
Practice address
2504 Washington St
Suite # 300 B/C
Waukegan, IL 60085-4983
Phone
(224) 489-7773
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MISA 21481 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC 21481 IL
Professional Counselor 101YP2500X 178.010358 IL
Mental Health Counselor 101YM0800X 180.009793 IL Primary

Addresses

Primary practice location

2504 Washington St
Suite # 300 B/C
Waukegan, IL 60085-4983

Mailing address

2504 Washington St # 300BC
Waukegan, IL 60085-4983
Phone (224) 489-7773

Other names 1

  • Dr. Vernice Wright Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Waukegan Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240531002960 IL Practitioner - Mental Health Counselor 2365884632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MISA 21481ILMDCounselor
CADC 21481ILMDAddiction (Substance Use Disorder) Counselor
180.009793ILMDMental Health Counselor
178.010358ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truth Youth & Family Services, LLC Mental Health CurrentSince Apr 17, 2024 Accepting new patients

Locations

2504 Washington St
#300
Waukegan, IL 60085
Phone (224) 489-7773

2504 Washington St
Ste 300
Waukegan, IL 60085
Phone (224) 489-7773

2504 Washington St
Ste 300CD
Waukegan, IL 60085
Phone (224) 489-7773

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1285019166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST # 300BC",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "224-489-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "SUITE # 300 B/C",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "224-489-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "VERNICE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "EDD,LCPC, CADC, CODP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "MISA 21481",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "CADC 21481",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010358",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waukegan",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Waukegan",
            "address_1": "2504 Washington St",
            "address_2": "Suite # 300 B/C",
            "city": "Waukegan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600854983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VERNICE",
            "last_name": "WRIGHT",
            "prefix": "DR.",
            "credential": "EDD, NCC, LCPC, CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.