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KADIJAH SIMONE WILSON MA
NPI 1598635807
Counselor - Professional in Richmond, VA

Active since November 11, 2025PECOS Enrolled
6800 PARAGON PL STE 237, RICHMOND, VA 23230(276) 201-6622 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2025, Dec 10, 2025, Dec 7, 2025 and 1 more (4 updates tracked since 2025).

About Kadijah Simone Wilson Ma NPPES

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

KADIJAH SIMONE WILSON MA (NPI 1598635807) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701015673) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598635807
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKADIJAH SIMONE WILSONCredential: MA
Location Address6800 PARAGON PL STE 237Richmond, VA 23230-1651
Mailing Address6800 Paragon Pl Ste 237Richmond, VA 23230-1651
Phone(276) 201-6622
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2025
Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1598635807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701015673
6800 PARAGON PL STE 237, Richmond, VA 23230
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kadijah Simone Wilson Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355823378
PECOS Enrollment IDI20260306003502
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.

MS. KATHRYN OLIVIA ELLIS
Social Worker (Clinical)
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
IRIS WEI HUI LASHLEY
Behavior Technician
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
MS. LYNETTE KATHERINE JOHNSON LCSW
Social Worker (Clinical)
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
ALICIA MARIE MOORADIAN LCSW
Social Worker (Clinical)
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
SARAH WARRICK
Behavior Technician
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
MRS. CANDACE A HOPPER LPC
Counselor (Professional)
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
BREON EARL PAYTON JR.
Behavior Analyst
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997
REGISE ASHERMAN LCSW
Social Worker (Clinical)
6800 PARAGON PL STE 237
RICHMOND, VA 23230
Henrico County (804) 562-9997

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 Kadijah Wilson's NPI number?

The NPI number for Kadijah Wilson is 1598635807. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Kadijah Wilson located?

Kadijah Wilson practices at 6800 Paragon Pl Ste 237, Richmond, VA 23230. The listed phone number is (276) 201-6622.

What is Kadijah Wilson's specialty?

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

Is Kadijah Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kadijah Wilson was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.