JEANETTE I. KOLKER PHD
NPI 1437318292
Psychologist in Charlotte, NC

Active since June 06, 2008PECOS Enrolled
3541 RANDOLPH RD, STE 206, CHARLOTTE, NC 28211(704) 381-8336 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2018).

About Jeanette I. Kolker Phd NPPES

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

JEANETTE I. KOLKER PHD (NPI 1437318292) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (2202) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1437318292
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJEANETTE I. KOLKERCredential: PHD
Location Address3541 RANDOLPH RD, STE 206Charlotte, NC 28211-1082
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateJune 6, 2008
Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1437318292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 2202
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3541 RANDOLPH RD, Charlotte, NC 28211

Secondary Practice Location 1

Location 13541 Randolph Rd, Ste 210Charlotte, NC 28211-1082 · Phone (704) 381-8336

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanette I. Kolker Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeanette Kolker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
3541 RANDOLPH RD, STE 206
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Psychologist
3541 RANDOLPH RD, STE 206
CHARLOTTE, NC 28211
Physical Therapist
3541 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Psychologist (Clinical)
3541 RANDOLPH RD, SUITE 102
CHARLOTTE, NC 28211
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Pharmacy (Community/Retail Pharmacy)
3541 RANDOLPH RD
CHARLOTTE, NC 28211
Social Worker
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211

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 Jeanette Kolker's NPI number?

The NPI number for Jeanette Kolker is 1437318292. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Jeanette Kolker located?

Jeanette Kolker practices at 3541 Randolph Rd Ste 206, Charlotte, NC 28211. The listed phone number is (704) 381-8336.

What is Jeanette Kolker's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeanette Kolker enrolled in Medicare?

Yes. Jeanette Kolker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Kolker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Kolker reassigns Medicare benefits to Carolinas Medical Center (Charlotte, NC). The 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 Jeanette Kolker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanette Kolker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Jeanette Kolker 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 Jeanette Kolker was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.