JODI PROVINCE COUNSELING SERVICES PLLC
NPI 1194050435
Counselor - Mental Health in Wilkesboro, NC

Q: What is Jodi Province Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 05, 2009

1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697(336) 818-0733(336) 818-0734 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, Aug 13, 2024, Jul 17, 2024 and 2 more (5 updates tracked since 2019).

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About Jodi Province Counseling Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI PROVINCE COUNSELING SERVICES PLLC (NPI 1194050435) is a healthcare organization registered as a mental health in Wilkesboro, North Carolina and active in the NPI registry since October 2009. The organization maintains 6 additional practice locations and lists Jodi Tilley Province, Organizer/member, as its authorized official.

NPPES Registry Identity

NPI1194050435

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameJODI PROVINCE COUNSELING SERVICES PLLC

Location Address1260 COLLEGE AVE STE 1Wilkesboro, NC 28697-2700

Mailing Address1260 College Ave Ste 1Wilkesboro, NC 28697-2700 · (336) 818-0733 · Fax (336) 818-0734

Phone(336) 818-0733

Fax(336) 818-0734

Organization SubpartNo

Authorized OfficialJodi Tilley ProvinceOrganizer/member · (336) 818-0733

Enumeration DateOctober 5, 2009

Last NPPES UpdateMay 22, 20265 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1194050435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

1260 COLLEGE AVE STE 1, Wilkesboro, NC 28697

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Secondary Practice Locations 6

Location 150 Lucy Echerd LnTaylorsville, NC 28681-3099 · Phone (336) 818-0733 · Fax (336) 818-0734

Location 2934 Nc Highway 88 WJefferson, NC 28640-8813 · Phone (336) 818-0733 · Fax (336) 818-0734

Location 3301 S Church St Ste 293Rocky Mount, NC 27804-5753 · Phone (336) 818-0733

Location 4314 Winston RdJonesville, NC 28642-2214 · Phone (336) 818-0733 · Fax (336) 818-0734

Location 52587 Pleasant Ridge RdState Road, NC 28676-9318 · Phone (336) 818-0733 ext. 201 · Fax (336) 571-1012

Location 6714 Carolina Ave Ste AYadkinville, NC 27055-7793 · Phone (336) 818-0733 ext. 101

Other Identifiers 9

Medicaid6103527NC

Medicaid6112147NC

Medicaid6102745NC

Medicaid6112237NC

Medicaid6106369NC

Medicaid6103333NC

Medicaid6105186NC

Other144VWNC · Bcbsnc

Medicaid6107594NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA FALLS LCSWA

Social Worker (Clinical)