Jacqueline F Wright

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00182700 Issued in NJ

Practice address

179 Palisade Ave
Jersey City, NJ 07306-1103

Phone

(201) 795-8375

Fax

(201) 795-8381

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1508292459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145A BAYVIEW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053368",
            "telephone_number": "201-795-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061103",
            "telephone_number": "201-795-8375",
            "fax_number": "201-795-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JACQUELINE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SW00424200",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00182700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295655",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womenrising, Inc.
• Aubrey S. Wong, D.O.
• Peter J Wong, MD
• Kyung Woo, D.D.S.
• Fahry Woolley, LMSW
• Jasmine N Wright, MS ED BCBA
• Liat Wruble
• Jacqueline Wu
• Jung-Faug Wu, MD
• Xenon Health of Delaware LLC

• Addiction (Substance Use Disorder) Counselor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.