DR. CAROL TILLEY PH.D.
NPI 1639261100
Specialist in Fairfax, VA

Q: What is Carol Tilley's NPI number?

The NPI number for Carol Tilley is 1639261100. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Carol Tilley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Carol Tilley enrolled in Medicare?

No. Carol Tilley has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Carol Tilley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 29, 2006Opted out of Medicare · through Apr 1, 2028

11244 WAPLES MILL RD, SUITE K, FAIRFAX, VA 22030(703) 218-2066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carol Tilley Ph.d. NPPES

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

DR. CAROL TILLEY PH.D. (NPI 1639261100) is an individual specialist in Fairfax, Virginia, licensed in Virginia (0810002060) and active in the NPI registry since September 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639261100

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. CAROL TILLEYCredential: PH.D.

Location Address11244 WAPLES MILL RD, SUITE KFairfax, VA 22030-6040

Mailing Address3014 Millstream CtHerndon, VA 20171-1520 · (703) 620-5102

Phone(703) 218-2066

Sole ProprietorYes

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639261100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0810002060

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11244 WAPLES MILL RD, Fairfax, VA 22030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carol Tilley Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

JANINE M MURPHY-NEILSON LPC

Counselor (Professional)

11244 WAPLES MILL RD, SUITE D-1
FAIRFAX, VA 22030

Fairfax City (703) 596-4205

MRS. JULIE MARGARET MAYFIELD L.C.S.W.

Social Worker (Clinical)

11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030

Fairfax City (703) 352-2200

TIMOTHY J. SWEENEY, P.C.

Social Worker (Clinical)

11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030

Fairfax City (703) 359-4848

DR. ALISA M ROMAN PH.D.

Psychologist (Clinical)

11244 WAPLES MILL RD, SUITE D-1
FAIRFAX, VA 22030

Fairfax City (703) 385-0196

TIMOTHY J. SWEENEY LCSW

Social Worker (Clinical)

11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030

Fairfax City (703) 359-4848

DR. MICHELLE F EABON PH.D.

Psychologist (Clinical Child & Adolescent)

11244 WAPLES MILL RD, SUITE G-1
FAIRFAX, VA 22030

Fairfax City (703) 691-4204

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 Carol Tilley's NPI number?

The NPI number for Carol Tilley is 1639261100. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Carol Tilley located?

Carol Tilley practices at 11244 Waples Mill Rd Suite K, Fairfax, VA 22030. The listed phone number is (703) 218-2066.

What is Carol Tilley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carol Tilley enrolled in Medicare?

No. Carol Tilley has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carol Tilley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.