Mary Jane Anderson-Wiley, PH.D., LMHC
NPI 1811937717ActiveIndividual· Counselor, Professional· Sagamore Beach, MA
Counselor, Professional (PH.D., LMHC) in Sagamore Beach, Massachusetts, licensed in MA, with an NPI issued in June 2006. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1811937717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LMHC |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Aug 28, 2024 |
| Certified by provider | Jan 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 9038 | MA |
| Counselor | 101Y00000X | 9038 | MA |
| Counselor, Mental Health | 101YM0800X | 9038 | MA |
| Counselor, School | 101YS0200X | — | — |
| Counselor, School | 101YS0200X | 9038 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
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