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JERRY M WRIGHT LPC
NPI 1700316510
Counselor - Professional in Nanticoke, PA

Active since June 14, 2017PECOS Enrolled
120 ALDEN MOUNTAIN RD, NANTICOKE, PA 18634(570) 550-0650 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Jul 21, 2022, Jun 14, 2017 (3 updates tracked since 2017).

About Jerry M Wright Lpc NPPES

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

JERRY M WRIGHT LPC (NPI 1700316510) is an individual professional provider in Nanticoke, Pennsylvania, licensed in Pennsylvania (PC009060) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1700316510
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY M WRIGHTCredential: LPC
Location Address120 ALDEN MOUNTAIN RDNanticoke, PA 18634-4202
Mailing Address120 Alden Mountain RdNanticoke, PA 18634-4202 · (570) 550-0650
Phone(570) 550-0650
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 14, 2017
Last NPPES UpdateDecember 12, 20223 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1700316510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC009060
120 ALDEN MOUNTAIN RD, Nanticoke, PA 18634
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M Wright Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577836824
PECOS Enrollment IDI20231220000732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jerry Wright's NPI number?

The NPI number for Jerry Wright is 1700316510. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Jerry Wright located?

Jerry Wright practices at 120 Alden Mountain Rd, Nanticoke, PA 18634. The listed phone number is (570) 550-0650.

What is Jerry Wright's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jerry Wright enrolled in Medicare?

Yes. Jerry Wright is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Wright was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.