Individual provider Active NPI

Jill M. Koudelka, LPC, LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1194048603
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201221 Issued in TX
Practice address
5750 Balcones Dr Ste 117C
Austin, TX 78731-4252
Phone
(281) 408-3183
NPI assigned
Mar 11, 2010
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 201221 TX Primary

Addresses

Primary practice location

5750 Balcones Dr Ste 117C
Austin, TX 78731-4252

Mailing address

5750 Balcones Dr Ste 117C
Austin, TX 78731-4252
Phone (281) 408-3183

Other names 1

  • Jill Swinney Former name

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

State licenses

LicenseStateTypeSpecialty
201221TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1194048603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 117C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314252",
            "telephone_number": "281-408-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 117C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314252",
            "telephone_number": "281-408-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUDELKA",
        "first_name": "JILL",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SWINNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.