Sally Wiley
Individual provider Active NPI Mental Health Counselor · Cedar Rapids, IA
NPI 1336059708 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1336059708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4056 Glass Rd NE
Cedar Rapids, IA 52402-2509 - Phone
- (319) 775-0727
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4056 Glass Rd NE
Cedar Rapids, IA 52402-2509
Mailing address
555 Aspen LN
Robins, IA 52328-9526
Phone (319) 775-0727
NPI Registry JSON
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1336059708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 ASPEN LN",
"city": "ROBINS",
"state": "IA",
"postal_code": "523289526",
"telephone_number": "319-775-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4056 GLASS RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022509",
"telephone_number": "319-775-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "SALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
- Deborah W Wilbur
- Adam Wilcox
- Katie Christine Wilcox
- Lisa R Wilcox
- Tari Wilcox
- Jeffrey D Wilharm
- Kristin Wilhelm
- Macy Jo Wilhelm
- Pamela Annette Wilhoite
- Truman Andrew Wilkin
All providers in Cedar Rapids, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.