IndividualActive
Jackie Koudelka
NPI 1962904821 · Counselor · Stockton, CA
Jackie Koudelka is a Counselor provider in Stockton, CA (NPI 1962904821).
Provider details
- NPI number
- 1962904821
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6 S El Dorado St Ste 510
Stockton, CA 95202-2804
Phone: (209) 623-1411
Street-level locationGet directions
Mailing address
6 S El Dorado St Ste 510
Stockton, CA 95202-2804
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Frequently asked questions
- What is Jackie Koudelka's NPI number?
- Jackie Koudelka's National Provider Identifier (NPI) is 1962904821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Koudelka's specialty?
- Jackie Koudelka is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jackie Koudelka located?
- Jackie Koudelka's practice location on file with NPPES is 6 S El Dorado St Ste 510, Stockton, CA 95202-2804.
- What is Jackie Koudelka's phone number?
- The practice phone number listed in the NPPES registry for Jackie Koudelka is (209) 623-1411.
- Is Jackie Koudelka's NPI active?
- Yes — Jackie Koudelka's NPI (1962904821) is active in the NPPES registry as of the last update on 2018-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.