Individual provider Active NPI

Kadijah Simone Wilson, MA

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1598635807
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015673 Issued in VA
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

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306003502 VA Practitioner - Mental Health Counselor 1355823378 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0701015673VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Insight Inc Professional CurrentSince Mar 2, 2026 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

Verify at the official NPI Registry.