Individual provider Active NPI

Jessica Blackburn Call, MA

  • Professional Counselor
  • North Wilkesboro, NC
National Provider Identifier
1083926018
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7923 Issued in NC
Practice address
204 Jefferson St
Suite 106
North Wilkesboro, NC 28659-3586
Phone
(336) 838-1644
Fax
(336) 667-7720
NPI assigned
Jul 7, 2010
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7923 NC Primary

Addresses

Primary practice location

204 Jefferson St
Suite 106
North Wilkesboro, NC 28659-3586

Mailing address

PO Box 1656
North Wilkesboro, NC 28659-1656
Phone (336) 838-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002324 NC Practitioner - Mental Health Counselor 1951744150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

204 Jefferson St
Suite 106
North Wilkesboro, NC 28659-3586
Phone (336) 838-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Carenet Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Carenet, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Carenet, Inc. Past Accepting new patients
Carenet, Inc Professional PastSince May 25, 2021 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

3219 Landmark St
Ste 9
Greenville, NC 27834

204 Jefferson St
Ste 106
North Wilkesboro, NC 28659
Phone (336) 838-1644

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1083926018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1656",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591656",
            "telephone_number": "336-838-1644",
            "fax_number": "336-667-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON ST",
            "address_2": "SUITE 106",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593586",
            "telephone_number": "336-838-1644",
            "fax_number": "336-667-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "JESSICA",
        "middle_name": "BLACKBURN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.