Tionell Waddler, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701008108 Issued in VA

Practice address

24195 Belleau Ave
Quantico, VA 22134-5106

Phone

(703) 719-1054

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1912267261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIDGE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561242",
            "telephone_number": "571-230-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24195 BELLEAU AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345106",
            "telephone_number": "703-719-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225561242",
            "country_code": "US",
            "telephone_number": "571-230-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDLER",
        "first_name": "TIONELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Ann Vanairsdale, DO, L.AC.
• Anna Vanalstyne, DPT
• Angelito Vera Cruz II, M.S. ED., ATC, VATL
• Francisco Xavier Veray IV, D.D.S, M.S
• Ashley Voss, D.O.
• Hollie J Wakelyn, PHARMD
• Walter Reed National Military Med Center (Quantico Main Phcy)
• Nicole Gay Ward, DMD
• Lesley Michelle Washington
• Sarah Lynn Weaver, APRN

• Mental Health Counselor in Quantico, VA
• Providers in Quantico, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.