Brandon Wiley, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008681 Issued in PA

Practice address

4408 Peach St Ste 301
Erie, PA 16509-1318

Phone

(814) 866-0905

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Openedeyes Counseling & Mental Wellness LLC

  • Mental Health Counselor
  • Erie, PA
  • NPI 1497627574

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1215391586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 PEACH ST STE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 PEACH ST STE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091318",
            "telephone_number": "814-866-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "BRANDON",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halina B Wilczanski, DMD
• Peter Lukasz Wilczanski, MD
• Eric Robert Wildauer, D.O
• Cohen Wildeson
• Brenda Leora Wiler, L.S.W.
• William Christian Wilhelm, MD
• Wesley Wilkerson-Spence
• Rachel Kathleen Wilkerson, D.O.
• Thomas J Wilkins, MD
• Christey Helen Wilkinson, PHARMD

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.