NPIMap

Organization Active NPI

Unbroken Abundance PLLC

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1619737616
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNBROKEN ABUNDANCE PLLC
Practice address
1811 N Austin Ave Ste 203
Georgetown, TX 78626-4628
Phone
(512) 737-3040
NPI assigned
Mar 19, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Catherine D Mappus, LCSW TX #68614
Title
Executive Director
Phone
(737) 367-3040

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1811 N Austin Ave Ste 203
Georgetown, TX 78626-4628

Mailing address

1811 N Austin Ave Ste 203
Georgetown, TX 78626-4628
Phone (512) 737-3040

Other practice location 1

601 Quail Valley Dr
Georgetown, TX 78626-8051
Phone (512) 262-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240625001681 TX Part B Supplier - Clinic/Group Practice 7012450562 Receives reassigned benefits from 3 practitioners
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

1811 N Austin Ave
Ste 203
Georgetown, TX 78626
Phone (737) 367-3040

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1619737616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N AUSTIN AVE STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264628",
            "telephone_number": "512-737-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N AUSTIN AVE STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264628",
            "telephone_number": "512-737-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Quail Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786268051",
            "country_code": "US",
            "telephone_number": "512-262-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNBROKEN ABUNDANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MAPPUS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "737-367-3040",
        "authorized_official_credential": "LCSW TX #68614"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.