Provider Demographics
NPI:1720038912
Name:PILIPCHUK, JOHNNA WEBB (MA, LPA)
Entity Type:Individual
Prefix:MS
First Name:JOHNNA
Middle Name:WEBB
Last Name:PILIPCHUK
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 US HIGHWAY 70 E
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8478
Mailing Address - Country:US
Mailing Address - Phone:919-270-1991
Mailing Address - Fax:919-732-4796
Practice Address - Street 1:180 PROVIDENCE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2206
Practice Address - Country:US
Practice Address - Phone:919-270-1991
Practice Address - Fax:919-732-4796
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1967103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107401Medicaid
NCE4156OtherMEDCOST PROVIDER ID
NC046MWOtherBCBS OF NC PROVIDER NUMBE