1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Counselor
  6. NPI Profile

KANISHA WILSON LPC
NPI 1558800326
Counselor - Professional in Fairfax, VA

Active since February 14, 2017PECOS Enrolled
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(703) 559-3000 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanisha Wilson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANISHA WILSON LPC (NPI 1558800326) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701013019) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558800326
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKANISHA WILSONCredential: LPC
Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone(703) 559-3000
Sole ProprietorYes
Enumeration DateFebruary 14, 2017
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1558800326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701013019
Also ListedCounselorTaxonomy 101Y00000X
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanisha Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE LEE MD
Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
NEIGHBORHOOD HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 535-5568
FELICIA ABOAGYE LNP
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
TRISHA MARIE HINDY BURKS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 852-0041
ANNA LEE KOOZMIN MSW, LCSW, LICSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 324-7100
JULIA LYNN CONVERSE LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
DESIREE ROBERTS LPC
Counselor (Professional)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanisha Wilson's NPI number?

The NPI number for Kanisha Wilson is 1558800326. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Where is Kanisha Wilson located?

Kanisha Wilson practices at 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (703) 559-3000.

What is Kanisha Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kanisha Wilson enrolled in Medicare?

Yes. Kanisha Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanisha Wilson was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.