Active NPI
Jessica Kilpatrick
- Professional Counselor
- Austin, TX
National Provider Identifier
1245929827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67502
- Practice address
- 805 W 10TH St
Austin, TX 78701-2047 - Phone
- (512) 348-7188
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67502 | TX | Primary |
Addresses
Primary practice location
805 W 10TH St
Austin, TX 78701-2047
Mailing address
8303 Bridgetown Dr
Austin, TX 78753-5805
Phone (310) 923-0525
Other practice location 1
1901 E Palm Valley Blvd
Round Rock, TX 78664-9421
Phone (512) 348-7188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67502 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1245929827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 BRIDGETOWN DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787535805",
"telephone_number": "310-923-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W 10TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012047",
"telephone_number": "512-348-7188"
}
],
"practiceLocations": [
{
"address_1": "1901 E Palm Valley Blvd",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786649421",
"country_code": "US",
"telephone_number": "512-348-7188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILPATRICK",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.