KEITH COLBERT LCADC, CCFC
NPI 1003992512
Counselor in Irvington, NJ

Active since October 27, 2006
21-29 WAGNER PLACE, IRVINGTON, NJ 07111(973) 399-3132(973) 399-7552 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Colbert Lcadc, Ccfc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH COLBERT LCADC, CCFC (NPI 1003992512) is an individual counselor in Irvington, New Jersey, licensed in New Jersey (F18736) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1003992512
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEITH COLBERTCredential: LCADC, CCFC
Location Address21-29 WAGNER PLACEIrvington, NJ 07111-1861
Mailing Address21-29 Wagner PlaceIrvington, NJ 07111-1861 · (973) 399-3132 · Fax (973) 399-7552
Fax(973) 399-7552
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1003992512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NJ · F18736
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00011300 (NJ)
Also ListedSocial WorkerTaxonomy 104100000X · License 44SW00619000 (NJ)
21-29 WAGNER PLACE, Irvington, NJ 07111

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
21-29 WAGNER PLACE
IRVINGTON, NJ 07111
Social Worker
21-29 WAGNER PLACE
IRVINGTON, NJ 07111
Social Worker
21-29 WAGNER PLACE
IRVINGTON, NJ 07111
Social Worker (Clinical)
21-29 WAGNER PLACE
IRVINGTON, NJ 07111
Social Worker (Clinical)
21-29 WAGNER PLACE
IRVINGTON, NJ 07111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Colbert's NPI number?

The NPI number for Keith Colbert is 1003992512. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Keith Colbert located?

Keith Colbert practices at 21-29 Wagner Place, Irvington, NJ 07111. The listed phone number is (973) 399-3132.

What is Keith Colbert's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keith Colbert was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.