JODI TILLEY PROVINCE LPC
NPI 1972638534
Counselor - Professional in Wilkesboro, NC

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697(336) 818-0733 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jodi Tilley Province Lpc NPPES

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

JODI TILLEY PROVINCE LPC (NPI 1972638534) is an individual professional provider in Wilkesboro, North Carolina, licensed in North Carolina (5534) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972638534
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJODI TILLEY PROVINCECredential: LPC
Location Address1260 COLLEGE AVE STE 1Wilkesboro, NC 28697-2700
Mailing Address1260 College Ave Ste 1Wilkesboro, NC 28697-2700 · (336) 818-0733
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 23, 2007
Last NPPES UpdateFebruary 1, 2012
NPI 1972638534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 5534
1260 COLLEGE AVE STE 1, Wilkesboro, NC 28697

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

Jodi Tilley Province Lpc 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 ID5698928885
PECOS Enrollment IDI20240111003553
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.

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)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Counselor (Mental Health)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Counselor (Mental Health)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Counselor (Professional)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697

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's NPI number?

The NPI number for Jodi Province is 1972638534. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Jodi Province located?

Jodi Province practices at 1260 College Ave Ste 1, Wilkesboro, NC 28697. The listed phone number is (336) 818-0733.

What is Jodi Province's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jodi Province enrolled in Medicare?

Yes. Jodi Province 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 Jodi Province accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jodi Province 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 was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.