KEITH COLBERT LCADC CCFC NPI 1003992512

NPI Information

  • NPI: 1003992512
  • Provider Name: KEITH COLBERT, LCADC, CCFC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 21-29 WAGNER PLACE
    IRVINGTON, NJ
    ZIP 07111
  • Phone: (973) 399-3132

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NPI Details

Keith Colbert, LCADC, CCFC is a counselor in Irvington, NJ. The provider is 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. Keith Colbert, LCADC, CCFC NPI is 1003992512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21-29 WAGNER PLACE
IRVINGTON, NJ
ZIP 07111-861
Phone: (973) 399-3132
Fax: (973) 399-7552

The enumeration date for this NPI number is 10/27/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorF18736NEW JERSEYYes
2101YA0400XCounselorAddiction (Substance Use Disorder)37LC00011300NEW JERSEYNo
3104100000XSocial Worker44SW00619000NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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