Active NPI
Jana Holland, LMFT
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1326613001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204041
- Practice address
- 5806 Mesa Dr Ste 300
Austin, TX 78731-3783 - Phone
- (512) 201-4006
- Fax
- (254) 773-0919
- NPI assigned
- May 25, 2021
- Last updated
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204041 | TX | Primary |
Addresses
Primary practice location
5806 Mesa Dr Ste 300
Austin, TX 78731-3783
Mailing address
PO Box 1108
Temple, TX 76503-1108
Phone (254) 773-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204041 | Other | TX | TX LMFT LIC. NO. |
Other names 1
- Jana Kekic
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 |
|---|---|---|---|
| 204041 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chupik Counseling & Consulting PA | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1326613001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765031108",
"telephone_number": "254-773-4022",
"fax_number": "254-773-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5806 MESA DR STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313783",
"telephone_number": "512-201-4006",
"fax_number": "254-773-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JANA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LMFT LIC. NO.",
"identifier": "204041",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANA",
"last_name": "KEKIC",
"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 May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.