Individual provider Active NPI

Reketta Charmett Wright

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1427195098
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7646 Issued in NC
Practice address
204 Muirs Chapel Rd
Ste 305
Greensboro, NC 27410-6173
Phone
(336) 816-2389
Fax
(336) 542-2885
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 7646 NC Primary

Addresses

Primary practice location

204 Muirs Chapel Rd
Ste 305
Greensboro, NC 27410-6173

Mailing address

2311 W Cone Blvd Ste 223
Greensboro, NC 27408-4067
Phone (336) 542-2884

Other names 1

  • Ms. Reketta Brown Other name

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
7646NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Foundation, Inc. Counselor Current Accepting new patients
Reality Home Care Current Accepting new patients
New Life Counseling Center Past Accepting new patients

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1427195098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W CONE BLVD STE 223",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084067",
            "telephone_number": "336-542-2884",
            "fax_number": "336-542-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD",
            "address_2": "STE 305",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106173",
            "telephone_number": "336-816-2389",
            "fax_number": "336-542-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REKETTA",
        "middle_name": "CHARMETT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REKETTA",
            "last_name": "BROWN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.