Joshua Wiley

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

187568 Issued in OH

Practice address

11470 County Road 1
Chesapeake, OH 45619-7010

Phone

(740) 550-4991

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southern Hope Recovery Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chesapeake, OH
  • NPI 1871150961
  NPD
• Southern Hope Recovery Center LLC

  • Community/Behavioral Health Agency
  • South Point, OH
  • NPI 1881518793
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1467270413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197010",
            "telephone_number": "740-550-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "187568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chesapeake",
            "affiliation": "N",
            "endpointDescription": "Chesapeake",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11470 County Road 1",
            "city": "Chesapeake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456197010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy West, LICDC, LISW-S
• Michelle West
• Erin A Wheeler, LISW
• Jasmine Whitaker, MBA
• Amanda N White, CDCA
• Katherine May Wilhelm, LPN
• Kymbria Williams-Coleman
• Chad E Williams, CMS
• Joseph Williams
• Lura-Beth Williams, D.C.

• Addiction (Substance Use Disorder) Counselor in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.