Individual provider Active NPI

Jill Katherine Suffredini, MA, LPC, MS, RD

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1114801453
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16015 Issued in TX
Practice address
5220 Spring Valley Rd Ste 545
Dallas, TX 75254-2482
Phone
(214) 405-3031
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 16015 TX Primary

Addresses

Primary practice location

5220 Spring Valley Rd Ste 545
Dallas, TX 75254-2482

Mailing address

6204 Walling LN
Plano, TX 75093-6161
Phone (972) 473-4917

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, Master of Science

State licenses

LicenseStateTypeSpecialty
16015TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1114801453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 WALLING LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936161",
            "telephone_number": "972-473-4917",
            "fax_number": "972-473-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SPRING VALLEY RD STE 545",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542482",
            "telephone_number": "214-405-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFREDINI",
        "first_name": "JILL",
        "middle_name": "KATHERINE",
        "credential": "MA, LPC, MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.