Jill Calderon, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6549 Issued in NC

Practice address

83 Sky Exchange Dr Apt 307
Asheville, NC 28803-0365

Phone

(845) 480-0460

NPI assigned

Nov 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

University of North Dakota School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cotswold Clinician Support ServicesGroup PAC ID 3971884511, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Cotswold Clinician Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568

  Counselor

  Medicare reassignment Care Compare group NPD
• Village Family Service Center

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1952679318
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1669716445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SKY EXCHANGE DR APT 307",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288030365",
            "telephone_number": "845-480-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SKY EXCHANGE DR APT 307",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288030365",
            "telephone_number": "845-480-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "6549",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "1803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Cain III, M.D.
• Larry Ray Cain, M.D.
• Aryana Calcagni
• Julio Calder, CSAC-R
• Sandra Elaine Calderbank, CRNA
• Kylie Elizabeth Calderon
• Cecelia Caldwell, M.D.
• Mary Leigh Caldwell, LCMHC
• Rebecca Leslie Caldwell, L.P.C.
• Sara Glance Caldwell, MD

• Counseling Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.