Keys to Recovery Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEYS TO RECOVERY COUNSELING SERVICES, PLLC

Practice address

1784 Heritage Center Dr
Suite 204
Wake Forest, NC 27587-3989

Phone

(919) 435-8164

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Andre Spencer Vann, LCSW, LCASNPI 1881943157

Title

Managing Partner/Clinical Director

Phone

(919) 435-8164

Specialties & licenses 3

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": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1831582618",
    "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": "919-435-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 HERITAGE CENTER DR",
            "address_2": "SUITE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873989",
            "telephone_number": "919-435-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO RECOVERY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGING PARTNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-435-8164",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Casey Moore Kiefer, D.D.S.

• 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 Mar 18, 2015; 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.