JOSTIENA WANIS
NPI 1629868799
Psychologist in North Chesterfield, VA

Active since May 10, 2025PECOS Enrolled
1215 MALL DR, NORTH CHESTERFIELD, VA 23235(804) 594-3690 Get Directions Write a Review

NPPES record last updated: May 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jostiena Wanis NPPES

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

JOSTIENA WANIS (NPI 1629868799) is an individual psychologist in North Chesterfield, Virginia, licensed in Virginia (0810008919) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629868799
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJOSTIENA WANIS
Location Address1215 MALL DRNorth Chesterfield, VA 23235-4737
Mailing Address9513 Craigs Mill DrGlen Allen, VA 23060-3555 · (708) 769-4721
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 10, 2025
NPPES CertifiedMay 10, 2025
✔ NPI 1629868799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in VA · 0810008919
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1215 MALL DR, North Chesterfield, VA 23235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jostiena Wanis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749760791
PECOS Enrollment IDI20260218000170
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 Jostiena Wanis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1241 MALL DR
North Chesterfield, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • 2 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 5

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

Counselor (Professional)
1215 MALL DR
NORTH CHESTERFIELD, VA 23235
Counselor (Mental Health)
1215 MALL DR
NORTH CHESTERFIELD, VA 23235
Psychologist (Clinical)
1215 MALL DR
NORTH CHESTERFIELD, VA 23235
Counselor (Professional)
1215 MALL DR
NORTH CHESTERFIELD, VA 23235
Clinical Neuropsychologist
1215 MALL DR
NORTH CHESTERFIELD, VA 23235

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 Jostiena Wanis's NPI number?

The NPI number for Jostiena Wanis is 1629868799. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Where is Jostiena Wanis located?

Jostiena Wanis practices at 1215 Mall Dr, North Chesterfield, VA 23235. The listed phone number is (804) 594-3690.

What is Jostiena Wanis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jostiena Wanis enrolled in Medicare?

Yes. Jostiena Wanis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jostiena Wanis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jostiena Wanis reassigns Medicare benefits to Advanced Behavioral Health Services, LLC (North Chesterfield, 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 Jostiena Wanis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jostiena Wanis was last updated on May 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.