ANISHIA V WILEY LPC-S
NPI 1871008011
Counselor - Professional in Hattiesburg, MS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since December 11, 2017PECOS Enrolled

66 OLD AIRPORT RD, HATTIESBURG, MS 39401(601) 582-2619(601) 544-4557 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 31, 2023, Dec 11, 2017 (2 updates tracked since 2017).

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About Anishia V Wiley Lpc-s NPPES

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

ANISHIA V WILEY LPC-S (NPI 1871008011) is an individual professional provider in Hattiesburg, Mississippi, licensed in Mississippi (2342) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Purvis, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871008011

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANISHIA V WILEYCredential: LPC-S

Location Address66 OLD AIRPORT RDHattiesburg, MS 39401-8382

Mailing AddressPo Box 15732Hattiesburg, MS 39404

Phone(601) 582-2619

Fax(601) 544-4557

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 11, 2017

Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1871008011 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 MS · 2342

Also ListedCounselorTaxonomy 101Y00000X · License 3609 (MS)

66 OLD AIRPORT RD, Hattiesburg, MS 39401

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Secondary Practice Location 1

Location 1220 School StPurvis, MS 39475-9002 · Phone (601) 794-6221

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anishia V Wiley Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355822693

PECOS Enrollment IDI20260224004187

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.