MS. JENNIFER DENISE WILEY (NPI# 1972632008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972632008 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER DENISE WILEY |
| Credential | CAS |
| Practice Address |
3969 4th Ave Ste 210 San Diego CA 92103-3165 |
| Mailing Address |
550 Park Blvd Unit 2504 San Diego CA 92101-7243 |
| Practice Telephone | 6192780795 |
| Mailing Telephone | 6195015023 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235140773 | Jennifer Hawk Wiley | Chiropractor | 117 Bell Avenue, Hoschton, GA 30548 | 2006-08-10 |
| 1205837515 | Jennifer M Wiley | Family Medicine | 101 Jordan Rd, Suite 104, Troy, NY 12180-8309 | 2005-08-09 |
| 1306846423 | Jennifer Susan Wiley | Internal Medicine | 4 Glen Cove Dr Ste 202, Rockport, ME 04856-4238 | 2005-07-29 |
| 1306229653 | Jennifer Jean Wiley | Physical Therapist | 159 Sunset Dr, Ste 102, Dahlonega, GA 30597-9998 | 2015-07-06 |
| 1437593985 | Jennifer Wiley | Dentist | 2507 N Point Rd, Dundalk, MD 21222-1605 | 2013-04-25 |
| 1972853851 | Jennifer Wiley | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2012-09-18 |
| 1821351602 | Jennifer Grace Wiley | Specialist | 10 Center St, Lake Ronkonkoma, NY 11779-4524 | 2012-06-18 |
| 1861754376 | Jennifer Lynn Wiley | Counselor | 728 S Mustang Rd, Yukon, OK 73099-6777 | 2012-06-11 |
| 1417251240 | Jennifer Gail Wiley | Speech-Language Pathologist | 17100 E Shea Blvd, Suite #225, Fountain Hills, AZ 85268-6625 | 2011-01-09 |
| 1518152065 | Jennifer Wiley | Counselor | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-09-07 |
| Street Address |
3969 4TH AVE STE 210 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261641 | Jorge Arturo Velasquez | Counselor | 3969 4th Ave Ste 210, San Diego, CA 92103-3165 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.