Jack L Hileman, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1091 Issued in NC

Practice address

1451 S Elm Eugene St
Greensboro, NC 27406-2200

Phone

(336) 202-0846

Fax

(866) 420-9205

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Jack L Hileman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapyworks Counseling, PLLC

  • Clinic/Center
  • Greensboro, NC
  • NPI 1457868168
  NPD (past) Authorized official
• Presbyterian Counseling Center of Greensboro, Inc

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1831138296
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1588721997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST UNIT 54",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062392",
            "telephone_number": "336-202-0846",
            "fax_number": "866-420-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-202-0846",
            "fax_number": "866-420-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3713 Richfield Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102111",
            "country_code": "US",
            "telephone_number": "336-288-1484",
            "fax_number": "336-288-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILEMAN",
        "first_name": "JACK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105060",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "HILEMAN",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Highly Favored Transportation Inc
• Rachel Danielle Highsmith
• Jessica Christine Hightower, DPT
• Linels Aymee Higuera Ancidey, IBCLC
• Alec Hildreth
• Linda S. Hileman, LPC, LCAS
• Alla M Hill, PHD, RD
• Avery Suzanne Hill, PA-C
• Beverly Thorndyke Hill, RPH.
• Catharine Abbitt Hill, PH.D, LPC, LMFT

• Marriage & Family Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.