Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since November 11, 2025PECOS Enrolled
6800 PARAGON PL STE 200, RICHMOND, VA 23230(833) 587-8825(757) 970-0274 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Dec 16, 2025, Dec 10, 2025 and 2 more (5 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, maintains a secondary practice location in Manassas, 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 200Richmond, VA 23230-1652
Mailing Address6800 Paragon Pl Ste 200Richmond, VA 23230-1652 · (833) 587-8825 · Fax (757) 970-0274
Fax(757) 970-0274
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2025
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ 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 200, Richmond, VA 23230

Secondary Practice Location 1

Location 17960 Donegan Dr Ste 200Manassas, VA 20109-8236 · Phone (571) 208-0592 · Fax (757) 970-0274

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kadijah Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Professional
6800 PARAGON PL STE 200
Richmond, VA 23230
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Social Worker (Clinical)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Counselor (Mental Health)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Behavior Analyst
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Behavior Technician
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Social Worker (Clinical)
6800 PARAGON PL STE 200
RICHMOND, VA 23230
Counselor (Professional)
6800 PARAGON PL STE 200
RICHMOND, VA 23230

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 200, Richmond, VA 23230. The listed phone number is (833) 587-8825.

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.

Which organization bills Medicare for Kadijah Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kadijah Wilson reassigns Medicare benefits to Family Insight Inc (Richmond, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kadijah Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kadijah Wilson accept?

Health plans from Oscar Health list Kadijah Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kadijah Wilson was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.