Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jackie R Koudelka

Counselor in Stockton, CA · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962904821

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Registry record

Entity type Individual (Type 1)

Name Jackie R Koudelka

Sex Female

Practice address 6 S El Dorado St Ste 510, Stockton, CA, 95202

Phone (209) 623-1411

Enumeration date Mar 6, 2018

Last updated in NPPES Mar 6, 2018

Taxonomy & licenses

101Y00000X Counselor Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jackie Koudelka?

Jackie Koudelka is registered in NPPES with the primary taxonomy of Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-06.