JILL KOLSTAD M.ED
NPI 1790042596
Specialist in Fort Worth, TX

Active since April 18, 2012
6205 FALLOW CT, FORT WORTH, TX 76132(903) 724-9985(817) 423-0787 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jill Kolstad M.ed NPPES

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

JILL KOLSTAD M.ED (NPI 1790042596) is an individual specialist in Fort Worth, Texas, licensed in Texas (495743) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1790042596
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJILL KOLSTADCredential: M.ED
Location Address6205 FALLOW CTFort Worth, TX 76132-3544
Mailing Address6205 Fallow CtFort Worth, TX 76132-3544 · (903) 724-9985 · Fax (817) 423-0787
Fax(817) 423-0787
Sole ProprietorYes
Enumeration DateApril 18, 2012
NPI 1790042596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · 495743
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 495743 (TX)
6205 FALLOW CT, Fort Worth, TX 76132

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 Jill Kolstad's NPI number?

The NPI number for Jill Kolstad is 1790042596. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Jill Kolstad located?

Jill Kolstad practices at 6205 Fallow Ct, Fort Worth, TX 76132. The listed phone number is (903) 724-9985.

What is Jill Kolstad's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jill Kolstad was last updated on April 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.