Active NPI
Eileen L Wiley, MSW
- Addiction (Substance Use Disorder) Counselor
- Monroe, MI
National Provider Identifier
1285703843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6801071856
- Practice address
- 700 Stewart Rd
Suite 105
Monroe, MI 48162-5304 - Phone
- (734) 240-1760
- Fax
- (734) 240-1780
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6801071856 | MI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1-02018 | MI |
Addresses
Primary practice location
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Mailing address
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Phone (734) 240-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008951790 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-02018 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801071856 | MI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anodyne Healthcare PLLC | Past | Accepting new patients | |
| Integrated Health Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Belleville, MI
- NPI 1376858720
-
dba Michigan Institute of Pain Management
- Pain Clinic/Center
- Dearborn Heights, MI
- NPI 1508808817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285703843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 STEWART RD",
"address_2": "SUITE 105",
"city": "MONROE",
"state": "MI",
"postal_code": "481625304",
"telephone_number": "734-240-1760",
"fax_number": "734-240-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 STEWART RD",
"address_2": "SUITE 105",
"city": "MONROE",
"state": "MI",
"postal_code": "481625304",
"telephone_number": "734-240-1760",
"fax_number": "734-240-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "EILEEN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6801071856",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "1-02018",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8008951790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.