Individual provider Active NPI

Johnna Webb Pilipchuk, MA, LPA

  • Counseling Psychologist
  • Chapel Hill, NC
National Provider Identifier
1720038912
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1967 Issued in NC
Practice address
180 Providence Rd
Suite 9
Chapel Hill, NC 27514-2206
Phone
(919) 270-1991
Fax
(919) 732-4796
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1967 NC Primary

Addresses

Primary practice location

180 Providence Rd
Suite 9
Chapel Hill, NC 27514-2206

Mailing address

1512 US Highway 70 E
Hillsborough, NC 27278-8478
Phone (919) 270-1991

Other identifiers 3

IdentifierTypeStateIssuer
6107401MedicaidNC
E4156OtherNCMEDCOST PROVIDER ID
046MWOtherNCBCBS OF NC PROVIDER NUMBE

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 Arts

State licenses

LicenseStateTypeSpecialty
1967NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1720038912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 US HIGHWAY 70 E",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788478",
            "telephone_number": "919-270-1991",
            "fax_number": "919-732-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE 9",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-270-1991",
            "fax_number": "919-732-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILIPCHUK",
        "first_name": "JOHNNA",
        "middle_name": "WEBB",
        "name_prefix": "Ms.",
        "credential": "MA, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107401",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER ID",
            "identifier": "E4156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER NUMBE",
            "identifier": "046MW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 2012; 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.