JEWISH COMMUNITY ASSOCIATION OF AUSTIN
NPI 1003831892
Social Worker - Clinical in Austin, TX

Active since July 13, 2006
11940 JOLLYVILLE RD, SUITE 110 SOUTH, AUSTIN, TX 78759(512) 250-1043 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jewish Community Association Of Austin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEWISH COMMUNITY ASSOCIATION OF AUSTIN (NPI 1003831892) is a healthcare organization registered as a clinical in Austin, Texas and active in the NPI registry since July 2006. The organization lists Mitch Sudolsky, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003831892
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJEWISH COMMUNITY ASSOCIATION OF AUSTIN
Location Address11940 JOLLYVILLE RD, SUITE 110 SOUTHAustin, TX 78759-2327
Mailing Address11940 Jollyville Rd, Suite 110 SouthAustin, TX 78759-2327 · (512) 250-1043
Organization SubpartNo
Authorized OfficialMitch SudolskyExecutive Director · (512) 250-1043
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 18, 2007
✔ NPI 1003831892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11940 JOLLYVILLE RD, Austin, TX 78759

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jewish Community Association Of Austin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Jewish Community Association Of Austin, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Mental Health Counselor
NPI 1881887412
11940 JOLLYVILLE ROAD 110 S
Austin, TX 78759
(512) 250-1043
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1922440262
11940 JOLLYVILLE RD STE 110SOUTH
Austin, TX 78759
(512) 250-1043
✔ PECOSSame address
Clinical Social Worker
NPI 1326640046
11940 JOLLYVILLE ROAD
Austin, TX 78759
(512) 250-1043
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235819657
11940 JOLLYVILLE RD STE 110SOUTH
Austin, TX 78759
(512) 735-8020
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1922846336
7300 HART LN
Austin, TX 78731
(512) 250-1043
✔ PECOS✔ Accepts Medicare4.7 mi
Clinical Social Worker
NPI 1043586860
5013 WESTVIEW DR
Austin, TX 78731
(512) 422-4389
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jewish Community Association Of Austin's NPI number?

The NPI number for Jewish Community Association Of Austin is 1003831892. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Jewish Community Association Of Austin located?

Jewish Community Association Of Austin is located at 11940 Jollyville Rd Suite 110 South, Austin, TX 78759. The listed phone number is (512) 250-1043.

What is Jewish Community Association Of Austin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jewish Community Association Of Austin enrolled in Medicare?

Yes. Jewish Community Association Of Austin is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jewish Community Association Of Austin?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Jewish Community Association Of Austin. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4) and Mental Health Counselor (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jewish Community Association Of Austin was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.