MEDICARE: MRS. JILL WOICIK LPC, LMFT, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	17948	TX
2	106H00000X	Marriage & Family Therapist	005111-005761	TX

General Provider Information

NPI Number	:	1992700538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILL WOICIK LPC, LMFT, NCC

Provider Business Mailing Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-319-3455
Fax Number	:	214-319-3495

Provider Business Practice Location Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-319-3455
Fax Number	:	214-319-3495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/11/2025

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