MR. KEITH C. WRIGHT SR. (NPI# 1023258985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023258985 |
| Entity Type | Individual |
| Full Name | MR. KEITH C. WRIGHT SR. |
| Credential | ICADC, CSAC, ADC-II |
| Practice Address |
230 New Bridge St Jacksonville NC 28540-4708 |
| Practice Telephone | 9103896714 |
| Practice Fax Number | 9103474037 |
| Mailing Telephone | 9103896714 |
| Mailing Fax Number | 9103474037 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2058 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720440233 | Keith Wright | Nurse Practitioner | 220 Abraham Flexner Way # 300, Louisville, KY 40202-3826 | 2016-03-23 |
| 1649214537 | Keith D Wright | Dermatology | 2383 Pate St, Snellville, GA 30078 | 2006-06-15 |
| 1326001306 | Keith J Wright | Acupuncturist | 1135 Georgetown Rd, Suite 201, Christiana, PA 17509-9543 | 2006-04-10 |
| 1417932179 | Keith Wright | Internal Medicine | 525 10th St Se, Cedar Rapids, IA 52403-1206 | 2005-12-14 |
| 1902394133 | Keith Wright | Counselor | 877 South St, Pittsfield, MA 01201-8242 | 2018-04-24 |
| 1245775543 | Keith M Wright II | Pharmacist | 550 Baldwin St, Jenison, MI 49428-9753 | 2016-12-23 |
| 1780035154 | Keith Wright | Counselor | 740 Florida Central Pkwy, Ste #1028, Longwood, FL 32750-7651 | 2016-06-28 |
| 1497117691 | Keith Benjamin Wright | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2016-03-25 |
| 1396016671 | Keith Richards Wright | Nurse Anesthetist, Certified Registered | 907 Eureka St, Suite B, Weatherford, TX 76086-5880 | 2012-01-19 |
| 1679859425 | Keith Wright | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2011-10-25 |
| Street Address |
230 NEW BRIDGE ST |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514670 | William George Beasley Jr. | Counselor | 205 Sherwood Rd, Jacksonville, NC 28540-5534 | 2020-09-28 |
| 1881200053 | Sarah M Allen | Counselor | 307 Angelina St, Jacksonville, TX 75766-9212 | 2020-09-22 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1982234100 | Sherree Smith | Counselor | 934 Lynchburg Dr, Jacksonville, NC 28546-4560 | 2020-01-16 |
| 1982266490 | Fernette R Hoag | Counselor | 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 | 2019-07-04 |
| 1942796347 | Gods House of Solomon | Counselor | 1709 Helena St, Jacksonville, FL 32208-3692 | 2018-07-09 |
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1649768037 | Tiffany Angela Yarbough | Counselor | 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1588160303 | Julie Margarita Smith | Counselor | 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 | 2018-04-02 |
| 1689172587 | Rittie Ann Ragland | Counselor | 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 | 2018-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on MR. KEITH C. WRIGHT SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.