Individual provider Active NPI

Cathrin Gould, LCSW, LCDC,

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1124675954
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65241 Issued in TX
Practice address
631 Mill St
San Marcos, TX 78666-6732
Phone
(512) 983-2979
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13994 TX
Mental Health Counselor 101YM0800X 65241 TX
Clinical Social Worker 1041C0700X 65241 TX Primary

Addresses

Primary practice location

631 Mill St
San Marcos, TX 78666-6732

Mailing address

404 Teakmill TRL
San Marcos, TX 78666-4385
Phone (512) 983-2979

Other practice location 1

404 Teakmill Trl
San Marcos, TX 78666-4385
Phone (512) 983-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13994TXMDAddiction (Substance Use Disorder) Counselor
65241TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas New Leaf LLC PastSince Sep 1, 2019 Accepting new patients
Nova Recovery LLC PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1124675954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TEAKMILL TRL",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664385",
            "telephone_number": "512-983-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MILL ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666732",
            "telephone_number": "512-983-2979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Teakmill Trl",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786664385",
            "country_code": "US",
            "telephone_number": "512-983-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CATHRIN",
        "credential": "LCSW, LCDC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65241",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.