Active NPI
Catherine Dun Ferguson-Mappus, LCSW
- Clinical Social Worker
- Georgetown, TX
National Provider Identifier
1639855489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68614 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unbroken Abundance PLLC | Mental Health | Current | 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
- 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.