JOSEPH P WILEY (NPI# 1902158124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902158124 |
| Entity Type | Individual |
| Full Name | JOSEPH P WILEY |
| Credential | CSAC |
| Practice Address |
3020 Javier Rd Fairfax VA 22031-4609 |
| Mailing Address |
6256 Les Dorson Ln Alexandria VA 22315-3229 |
| Practice Telephone | 7032894985 |
| Mailing Telephone | 7032894985 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| 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) |
0710101643 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215442074 | Joseph Wiley | Pharmacist | 2148 Kaneck Way, Hephzibah, GA 30815-6973 | 2017-12-02 |
| 1699053561 | Joseph Wiley | Behavioral Analyst | 1515 E Tropicana Ave Ste 375, Las Vegas, NV 89119-6520 | 2011-07-26 |
| 1265594196 | Joseph W Wiley | Pediatrics | 1911 Cooks Hill Rd., Centralia, WA 98531 | 2006-12-15 |
| 1295208205 | Joseph Wiley | Community Health Worker | 100 N Broadway, Irvington, NY 10533-1254 | 2019-01-03 |
| 1073058947 | Joseph Zachary Wiley | Family Medicine | 4111 1st Ave Ste 3, Nitro, WV 25143-1345 | 2016-12-30 |
| 1063455368 | Joseph M Wiley | Pediatrics | 2401 W Belvedere Ave, Dept of Pediatrics, Baltimore, MD 21215-5216 | 2006-06-14 |
| Street Address |
3020 JAVIER RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063541977 | Susan E. Jacobson | Registered Nurse | 3020 Javier Rd, Inova Behavioral Health, Fairfax, VA 22031-4609 | 2007-03-05 |
| 1063757326 | Kelly Elizabeth Zadow | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-11-27 |
| 1669724456 | Lara H Weaver | Social Worker | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-10-04 |
| 1750692307 | Gail Leslie Grandela | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469974 | Lifeline Psychotherapy Services | Counselor | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2017-10-24 |
| 1770959603 | Kimberley L Berlin | Counselor | 10640 Page Ave, Fairfax, VA 22030-4000 | 2015-08-14 |
| 1669852026 | Transitions...the Process of Change | Counselor | 8280 Willow Oaks Corporate Dr, Suite 600, Fairfax, VA 22031-4518 | 2015-06-01 |
| 1861724445 | Carolyn Elizabeth Kuchel | Counselor | 4505 Shirley Gate Rd, Fairfax, VA 22030-5522 | 2010-02-05 |
| 1982938361 | William Alberti Prasad | Counselor | 4100 Chain Bridge Rd, 6-121, Fairfax, VA 22030-7003 | 2009-10-01 |
| 1679736342 | Maria Christine Hadjiyane | Counselor | 3615 Chain Bridge Rd Unit I, Integrative Psychotherapy Institute, Fairfax, VA 22030 | 2008-07-03 |
| 1437223922 | Life Line Addictions Foundation Inc. | Counselor | 10374 Democracy Ln Ste A, Fairfax, VA 22030-2557 | 2006-11-17 |
| 1932121290 | Gail W Campbell | Counselor | 10390 Democracy Ln, Fairfax, VA 22030-2522 | 2006-07-24 |
| 1609898154 | David Alan Jacobs | Counselor | 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 | 2006-07-24 |
| 1053339929 | Roberta E Severo | Counselor | 3912 Pineland St, Fairfax, VA 22031-3321 | 2006-07-18 |
| Find all providers in FAIRFAX | ||||
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| 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.