Active NPI
Jeanne Gresko Boehlecke, M.S.
- Professional Counselor
- Chapel Hill, NC
National Provider Identifier
1124230586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 115 Timberhill PL
Chapel Hill, NC 27514-1586 - Phone
- (919) 967-5959
- Fax
- (919) 968-1478
- NPI assigned
- May 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
115 Timberhill PL
Chapel Hill, NC 27514-1586
Mailing address
608 Churchill Dr
Chapel Hill, NC 27517-2505
Phone (919) 942-7909
Other names 1
- Jeanne Gresko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124230586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 CHURCHILL DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172505",
"telephone_number": "919-942-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TIMBERHILL PL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141586",
"telephone_number": "919-967-5959",
"fax_number": "919-968-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHLECKE",
"first_name": "JEANNE",
"middle_name": "GRESKO",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "GRESKO",
"credential": "M.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.