Individual provider Active NPI

Catherine Dun Ferguson-Mappus, LCSW

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1639855489
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68614 Issued in TX
Practice address
2006 Fountainwood Dr
Georgetown, TX 78633-1907
Phone
(512) 308-7841
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68614 TX
Clinical Social Worker 1041C0700X 68614 TX Primary

Addresses

Primary practice location

2006 Fountainwood Dr
Georgetown, TX 78633-1907

Mailing address

2006 Fountainwood Dr
Georgetown, TX 78633-1907
Phone (512) 308-7841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625001883 TX Practitioner - Clinical Social Worker 9830632389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68614TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unbroken Abundance PLLC Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

601 Quail Valley Dr
Georgetown, TX 78626
Phone (512) 559-6551

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

Organizations & group practices 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1639855489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FOUNTAINWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331907",
            "telephone_number": "512-308-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FOUNTAINWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331907",
            "telephone_number": "512-308-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON-MAPPUS",
        "first_name": "CATHERINE",
        "middle_name": "DUN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.