Active NPI
Jostiena Wanis
- Psychologist
- North Chesterfield, VA
National Provider Identifier
1629868799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810008919
- Practice address
- 1215 Mall Dr
North Chesterfield, VA 23235-4737 - Phone
- (804) 594-3690
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810008919 | VA | Primary |
Addresses
Primary practice location
1215 Mall Dr
North Chesterfield, VA 23235-4737
Mailing address
9513 Craigs Mill Dr
Glen Allen, VA 23060-3555
Phone (708) 769-4721
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
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1215 Mall Dr
North Chesterfield, VA 23235-4737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008919 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Health Services, LLC | Current | Accepting new patients |
Locations
1215 Mall Dr
North Chesterfield, VA 23235
Phone (804) 539-2557
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.
-
- Community/Behavioral Health Agency
- North Chesterfield, VA
- NPI 1780923292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1629868799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9513 CRAIGS MILL DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603555",
"telephone_number": "708-769-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354737",
"telephone_number": "804-594-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANIS",
"first_name": "JOSTIENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-10",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810008919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.