NPIMap

Organization Active NPI

Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Statesville, NC
National Provider Identifier
1427437391
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JODI PROVINCE COUNSELING SERVICES PLLC
Practice address
1605 Norwood Rd
Statesville, NC 28677-8201
Phone
(336) 818-0733
Fax
(336) 526-0036
NPI assigned
May 26, 2015
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Jodi Province, LPCSNPI 1972638534
Title
Owner/Provider
Phone
(336) 526-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1605 Norwood Rd
Statesville, NC 28677-8201

Mailing address

1260 College Ave
Suite 1
Wilkesboro, NC 28697-2700
Phone (336) 526-0073

Other practice location 1

564 Brookdale Dr
Statesville, NC 28677-4108
Phone (336) 526-0073

National Provider Directory

National Provider Directory
Tax ID family
Jodi Province Counseling Services PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1605 Norwood Rd
Statesville, NC 28677
Phone 3368180733 ext. 401

564 Brookdale Dr
Statesville, NC 28677
Phone (704) 872-4294

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1427437391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 COLLEGE AVE",
            "address_2": "SUITE 1",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972700",
            "telephone_number": "336-526-0073",
            "fax_number": "336-526-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NORWOOD RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286778201",
            "telephone_number": "336-818-0733",
            "fax_number": "336-526-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774108",
            "country_code": "US",
            "telephone_number": "336-526-0073",
            "fax_number": "336-526-0036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JODI PROVINCE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "PROVINCE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "336-526-0036",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.