ELIZABETH ASHLEY JEAN PHD
NPI 1528524329
Psychologist - Clinical in Charlotte, NC

Active since February 17, 2019PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-0101 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Oct 4, 2023, Feb 17, 2019 (3 updates tracked since 2019).

About Elizabeth Ashley Jean Phd NPPES

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

ELIZABETH ASHLEY JEAN PHD (NPI 1528524329) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (6424) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528524329
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELIZABETH ASHLEY JEANCredential: PHD
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 17, 2019
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1528524329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 6424
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 6424 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 2

Location 11001 Blythe Blvd, Ste 601Charlotte, NC 28203-5866 · Phone (704) 355-6930
Location 24501 Cameron Valley Pkwy, Ste 300Charlotte, NC 28211-4297 · Phone (704) 355-0101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Ashley Jean Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678924594
PECOS Enrollment IDI20240104003559
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Elizabeth Jean's NPI number?

The NPI number for Elizabeth Jean is 1528524329. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Elizabeth Jean located?

Elizabeth Jean practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-0101.

What is Elizabeth Jean's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Jean enrolled in Medicare?

Yes. Elizabeth Jean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Jean accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Elizabeth Jean 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 Elizabeth Jean 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.