Jessica Nichole Wiley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012567 Issued in GA

Practice address

352 Southside Dr
Waynesboro, GA 30830-4561

Phone

(706) 790-4440

NPI assigned

Dec 13, 2017

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Improvement Project, IncGroup PAC ID 7315851078, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neighborhood Improvement Project Inc

  dba Medical Associates Plus

  • Primary Podiatric Medicine Podiatrist
  • Evans, GA
  • NPI 1124984224
  Medicare reassignment Care Compare group
• Inpatient Psychology Solutions LLC

  • Psychologist
  • Augusta, GA
  • NPI 1497383152
  Medicare reassignment NPD
• Neighborhood Improvement Project Inc

  dba MAP @ Evans Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Evans, GA
  • NPI 1740158922
  NPD
• Neighborhood Improvement Project, Inc

  dba Medical Associates Plus

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1700900867
  NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1235644139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 W WIMBLEDON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 SOUTHSIDE DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308304561",
            "telephone_number": "706-790-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Town Park Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093477",
            "country_code": "US",
            "telephone_number": "706-432-6866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3206 W Wimbledon Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092732",
            "country_code": "US",
            "telephone_number": "706-810-2057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC012567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2754)
• Wal-Mart Stores East, LP (Vision Center 30-2754)
• Walgreen Co (Walgreens #12107)
• Waynesboro Dialysis Clinic LLC (Waynesboro Dialysis)
• White Columns Consulting, Inc. (Liberty Square Pharmacy)
• Alexis Wilson
• Aja Wimberly
• Christy Mazell Word, RBT
• Courtney Wright

• Professional Counselor in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.