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Active NPI 1821633454 Individual Practitioner Female Practitioner

Kenitres Marcell Wiley , MS, LPC

Counselor • Plano, TX

Professional Overview & Biography Verified Profile Summary

Kenitres Wiley, MS, LPC is a registered healthcare professional specializing in Counselor in Plano, TX. Practice services are available at 1001 CUSTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Custer Rd

Plano, TX 750758309

Telephone 4697526716

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
69 Specialists

Practicing in Plano, TX (3454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License 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.

Secondary Practice Locations

437 Spring Air Dr

Allen, TX 750025319

Phone: 2147944825

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rahel Nerway

Pharmacist

NPI 1033721774
Julianna Nix

Speech-Language Pathologist

NPI 1821554858

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated January 19, 2023

Recorded as KENITRES WILEY, MS, LPC

📍
Updated Business Mailing Address January 08, 2023

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

📍
Updated Practice Location May 26, 2020

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

NPI Profile Active November 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2019

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

📍
Updated Business Mailing Address November 06, 2019

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

👤
Provider Name / Credentials Updated November 06, 2019

Recorded as KENITRES WILEY, MS, LPC-I

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

Counselor (License #82487 in TX)

🟢
Initial NPI Registration & Enumeration November 06, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.