Individual provider Active NPI

Julie Jeannine Klecker, LCMHC, LPC, PC

  • Mental Health Counselor
  • North Wilkesboro, NC
National Provider Identifier
1124174024
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10138 Issued in NC
Practice address
755 Balls Mill Rd
North Wilkesboro, NC 28659-9533
Phone
(336) 298-2944
Fax
(336) 818-5444
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009820 MI
Mental Health Counselor 101YM0800X PC016231 PA
Professional Counselor 101YP2500X 10138 NC
Mental Health Counselor 101YM0800X 6401009820 MI
Professional Counselor 101YP2500X PC016231 PA
Mental Health Counselor 101YM0800X 10138 NC Primary

Addresses

Primary practice location

755 Balls Mill Rd
North Wilkesboro, NC 28659-9533

Mailing address

755 Balls Mill Rd
North Wilkesboro, NC 28659-9533
Phone (336) 298-2944

Other practice location 1

924 Main St Ste 394
North Wilkesboro, NC 28659-4265
Phone (336) 353-0553

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
I20260421001623 NC Practitioner - Mental Health Counselor 6608216585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

755 Balls Mill Rd
North Wilkesboro, NC 28659-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009820MIMDMental Health Counselor
PC016231PAMDMental Health Counselor
10138NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Mar 17, 2024 Accepting new patients
Artizo Ministries Addiction (Substance Use Disorder) CurrentSince Oct 31, 2021 Accepting new patients
Renewal Christian Counseling Inc Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

924 Main St
Ste 394
North Wilkesboro, NC 28659

809 Main St
Ste 37
North Wilkesboro, NC 28659

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

11676 Perry Hwy
Ste 2100
Wexford, PA 15090
Phone (724) 934-7722

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1124174024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BALLS MILL RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286599533",
            "telephone_number": "336-298-2944",
            "fax_number": "336-818-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BALLS MILL RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286599533",
            "telephone_number": "336-298-2944",
            "fax_number": "336-818-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Main St Ste 394",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594265",
            "country_code": "US",
            "telephone_number": "336-353-0553",
            "fax_number": "336-818-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLECKER",
        "first_name": "JULIE",
        "middle_name": "JEANNINE",
        "credential": "LCMHC, LPC, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009820",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016231",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10138",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009820",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.