Keys to Recovery Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008394 Issued in NC

Legal business name

KEYS TO RECOVERY COUNSELING SERVICES, PLLC

Practice address

308 E Spring St
Wake Forest, NC 27587-2640

Phone

(919) 398-5512

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre Vann, , MSW, LCSW, LCASNPI 1881943157

Title

Owner

Phone

(919) 398-5512

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre Spencer Vann, ,MSW, LCSW, LCAS

  • Clinical Social Worker
  • Louisburg, NC
  • NPI 1881943157

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1295167450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E SPRING ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872640",
            "telephone_number": "919-398-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E SPRING ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872640",
            "telephone_number": "919-398-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO RECOVERY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-398-5512",
        "authorized_official_credential": ", MSW, LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby Kemp
• Kenneth R. Tripp. Jr. DDS, PA
• Lisa Galen Kerr, PA-C
• Paulos Kesete, PHARMD
• Key Change Counseling, PLLC
• Keys to Recovery Counseling Services, PLLC
• Phylicia Keys, LCSWA
• Mohammad Abul Kalam Khan, M.D.
• Paige Kidd-Gillis, LCSW-A
• Kidzcare Pediatrics, PC

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.