Sondrella Kazzaz Wilda, M.A,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001893 Issued in VA

Practice address

6851 Courthouse Rd
Suite 300
Chesterfield, VA 23832-5308

Phone

(804) 715-3215

Fax

(804) 715-3233

NPI assigned

Oct 22, 2010

Sex

Female

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 Arts

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 and National Provider Directory roles.

• Footsteps Counseling Center

  • Mental Health Counselor
  • Chesterfield, VA
  • NPI 1669556585
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1265732309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 COURTHOUSE RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238325308",
            "telephone_number": "804-715-3215",
            "fax_number": "804-715-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 COURTHOUSE RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238325308",
            "telephone_number": "804-715-3215",
            "fax_number": "804-715-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDA",
        "first_name": "SONDRELLA",
        "middle_name": "KAZZAZ",
        "name_prefix": "Mrs.",
        "credential": "M.A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Morris Webber, RN, BSN, IBCLC
• Laura Marie Whaley, MS CCC/SLP
• George M White, LPC
• Crystal Whitley
• Danielle Whitlow
• Melissa Lorien Wilder, LCSW
• Brenda E Wiley, PT
• Michael Anthony Wilkins
• Charla Dianne Williams, LPN
• Janet Paisley Williams, RN

• Professional Counselor in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.