Active NPI
Kadijah Simone Wilson, MA
- Professional Counselor
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015673
- Practice address
- 6800 Paragon PL Ste 237
Richmond, VA 23230-1651 - Phone
- (276) 201-6622
- NPI assigned
- Nov 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701015673 | VA | Primary |
Addresses
Primary practice location
6800 Paragon PL Ste 237
Richmond, VA 23230-1651
Mailing address
6800 Paragon PL Ste 237
Richmond, VA 23230-1651
Other practice location 1
6800 Paragon Pl Ste 200
Richmond, VA 23230-1652
Phone (276) 201-6622
Other practice location 2
7960 Donegan Dr Ste 200-223
Manassas, VA 20109-8236
Phone (571) 208-0592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7960 Donegan Dr
Suite 200
Manassas, VA 20109-2870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701015673 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Insight Inc | Professional | Current | Accepting new patients |
Locations
6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914
6800 Paragon Pl
Ste 237
Richmond, VA 23230
Phone (804) 563-9997
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1598635807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARAGON PL STE 237",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 PARAGON PL STE 237",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301651",
"telephone_number": "276-201-6622"
}
],
"practiceLocations": [
{
"address_1": "6800 Paragon Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232301652",
"country_code": "US",
"telephone_number": "276-201-6622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7960 Donegan Dr Ste 200-223",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201098236",
"country_code": "US",
"telephone_number": "571-208-0592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "KADIJAH",
"middle_name": "SIMONE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701015673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.