Active NPI
Nakkihia Alfred Wright, LCAS-A
- Mental Health Counselor
- Lumberton, NC
National Provider Identifier
1740533587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2782A
- Practice address
- 3581 Lackey St
Lumberton, NC 28360 - Phone
- (910) 738-5023
- Fax
- (910) 738-1581
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-2782 | NC | |
| Mental Health Counselor | 101YM0800X | 2782A | NC | Primary |
Addresses
Primary practice location
3581 Lackey St
Lumberton, NC 28360
Mailing address
3581 Lackey St
Lumberton, NC 28360-9048
Phone (910) 738-5023
Other practice location 1
109 W Central St
Maxton, NC 28364-1703
Phone (910) 738-5023
Other practice location 2
310 Harris Ave
Raeford, NC 28376-3110
Phone (910) 738-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740533587 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-2782 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 2782A | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1932304714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1740533587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3581 LACKEY ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283609048",
"telephone_number": "910-738-5023",
"fax_number": "910-738-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3581 LACKEY ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28360",
"telephone_number": "910-738-5023",
"fax_number": "910-738-1581"
}
],
"practiceLocations": [
{
"address_1": "109 W Central St",
"address_purpose": "LOCATION",
"city": "Maxton",
"state": "NC",
"postal_code": "283641703",
"country_code": "US",
"telephone_number": "910-738-5023",
"fax_number": "910-738-1581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Harris Ave",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283763110",
"country_code": "US",
"telephone_number": "910-738-5023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "NAKKIHIA",
"middle_name": "ALFRED",
"credential": "LCAS-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-2782",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2782A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740533587",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.