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Kenitres Marcell Wiley , MS, LPC

Counselor β€’ Plano, TX

Active NPI 1821633454 Individual Practitioner Female Practitioner
Practice location in NPPES

1001 Custer Rd
Plano, TX 750758309

Call 4697526716 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 Custer Rd

Plano, TX 750758309

Telephone 4697526716
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Allen, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Plano and Texas

69 active clinicians are listed under Counselor with a practice address in Plano, TX (3,334 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Plano

0% of these 69 clinicians have the CMS telehealth indicator.

0% of these 69 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES TX 82487

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

437 Spring Air Dr

Allen, TX 750025319

Phone: 2147944825

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 19, 2023

Recorded as KENITRES WILEY, MS, LPC

πŸ“
Updated Business Mailing Address January 08, 2023

Registered at 609 S GOLIAD ST UNIT 1745, ROCKWALL, TX 750874061 (Tel: 9728139117)

πŸ“
Updated Practice Location May 26, 2020

Registered at 1001 CUSTER RD, PLANO, TX 750758309 (Tel: 4697526716)

βœ…
NPI Profile Active November 06, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 06, 2019

Registered at 437 SPRING AIR DR, ALLEN, TX 750025319 (Tel: 2147944825)

πŸ“
Business Mailing Address (Initial Record) November 06, 2019

Registered at PO BOX 1513, ALLEN, TX 750130026 (Tel: 2147944825)

πŸ‘€
Provider Name / Credentials (Initial Record) November 06, 2019

Recorded as KENITRES WILEY, MS, LPC-I

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2019

Counselor (license number reported to NPPES: TX 82487)

🟒
Initial NPI Registration & Enumeration November 06, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821633454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2019
Last Update: January 19, 2023
Sole Proprietor: Yes

Mailing Address

609 S Goliad St Unit 1745

Rockwall, TX 750874061

Phone: 9728139117

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.