JODI PROVINCE COUNSELING SERVICES PLLC
NPI 1194050435
Counselor - Mental Health in Wilkesboro, NC
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
Specialties & Licenses 2
Secondary Practice Locations 6
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jodi Province Counseling Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Jodi Province Counseling Services PLLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jodi Province Counseling Services PLLC's NPI number?
The NPI number for Jodi Province Counseling Services PLLC is 1194050435. It was assigned to this organization in the NPPES registry on October 5, 2009.
Where is Jodi Province Counseling Services PLLC located?
Jodi Province Counseling Services PLLC is located at 1260 College Ave Ste 1, Wilkesboro, NC 28697. The listed phone number is (336) 818-0733.
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.
Is Jodi Province Counseling Services PLLC enrolled in Medicare?
Yes. Jodi Province Counseling Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jodi Province Counseling Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Jodi Province Counseling Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (15) and Clinical Social Worker (5). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jodi Province Counseling Services PLLC accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Jodi Province Counseling Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jodi Province Counseling Services PLLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jodi Province Counseling Services Pllc · NPI 1194050435
Mental Health organization in Wilkesboro, North Carolina. Organization record, active in the CMS NPPES registry since October 5, 2009.
## Identity
- **NPI:** 1194050435 (Entity type: Organization)
- **Enumerated:** October 5, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jodi Province, ORGANIZER/MEMBER
## Practice location
- **Address:** 1260 COLLEGE AVE STE 1, Wilkesboro, NC 28697-2700
- **Phone:** (336) 818-0733 · **Fax:** (336) 818-0734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (15), Clinical Social Worker (5); 12 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2026
- **Other identifiers:** Medicaid 6103527 (NC); Medicaid 6112147 (NC); Medicaid 6102745 (NC); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1194050435) · Data from the CMS NPPES public registry.