| NPI | 1194050435 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-10-05 |
| Last Updated | 2026-05-22 |
| Authorized Official | Jodi Province organizer/member Phone: 3368180733 |
| Mailing Address | 1260 College Ave Ste 1 Wilkesboro, NC 28697-2700 United States Phone: (336) 818-0733 | Fax: (336) 818-0734 📍 View Map |
| Primary Practice Address | 1260 College Ave Ste 1 Wilkesboro, NC 28697-2700 United States Phone: (336) 818-0733 | Fax: (336) 818-0734 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 144VW | BCBSNC |
| MEDICAID | NC | 6102745 | - |
| MEDICAID | NC | 6103333 | - |
| MEDICAID | NC | 6103527 | - |
| MEDICAID | NC | 6105186 | - |
| MEDICAID | NC | 6106369 | - |
| MEDICAID | NC | 6107594 | - |
| MEDICAID | NC | 6112147 | - |
| MEDICAID | NC | 6112237 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 251S00000X – Community/Behavioral Health | - | - |
| Yes | 101YM0800X – Counselor, Mental Health | - | - |
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About NPI 1194050435
Jodi Province Counseling Services Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194050435. The primary specialty listed is Counselor, Mental Health. The organization is located in Wilkesboro, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194050435?
NPI 1194050435 belongs to Jodi Province Counseling Services Pllc, a Counselor, Mental Health in Wilkesboro, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194050435 active?
The current status of NPI 1194050435 in the NPPES registry is Active. The record was last updated on 2026-05-22.
What specialty is NPI 1194050435?
NPI 1194050435 is classified under the taxonomy Counselor, Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194050435?
You can verify NPI 1194050435 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194050435?
The primary practice address on file for NPI 1194050435 is 1260 College Ave Ste 1, Wilkesboro, NC 28697-2700. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194050435 issued?
NPI 1194050435 was first issued (enumerated) on 2009-10-05. The NPPES record was last updated on 2026-05-22.
Practice Location Map
Jodi Province Counseling Services Pllc is located at 1260 College Ave Ste 1, Wilkesboro, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jodi Province Counseling Services Pllc. All records sourced from the CMS NPPES registry.