Individual provider Active NPI

Jennifer Pollack, LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1114767985
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205365 Issued in TX
Practice address
8400 N Mopac Expy Ste 301
Austin, TX 78759-8323
Phone
(512) 815-3863
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 205365 TX Primary

Addresses

Primary practice location

8400 N Mopac Expy Ste 301
Austin, TX 78759-8323

Mailing address

8400 N Mopac Expy Ste 301
Austin, TX 78759-8323
Phone (512) 815-3863

Other practice location 1

3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Phone (512) 815-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2026 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
205365TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1114767985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 N MOPAC EXPY STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598323",
            "telephone_number": "512-815-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N MOPAC EXPY STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598323",
            "telephone_number": "512-815-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Greystone Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787312371",
            "country_code": "US",
            "telephone_number": "512-815-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.