Organization Active NPI

Kelly M. McCabe, LPC-S, LMFT-S, PLLC

  • Marriage & Family Therapist
  • Georgetown, TX
National Provider Identifier
1679003362
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5074 Issued in TX
Legal business name
KELLY M. MCCABE, LPC-S, LMFT-S, PLLC
Practice address
3007 Dawn Dr Ste 106
Georgetown, TX 78628-2864
Phone
(512) 688-5615
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kelly Michelle McCabe, LPC-S, LMFT-SNPI 1417910662
Title
Managing Member
Phone
(512) 688-5615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 17640 TX
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 5074 TX Primary

Addresses

Primary practice location

3007 Dawn Dr Ste 106
Georgetown, TX 78628-2864

Mailing address

3007 Dawn Dr Ste 106
Georgetown, TX 78628-2864
Phone (512) 688-5615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903004199 TX Part B Supplier - Clinic/Group Practice 8325540909 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

3007 Dawn Dr
Ste 106
Georgetown, TX 78628
Phone (512) 688-5615

2913 Williams Dr
Ste 220
Georgetown, TX 78628
Phone (254) 251-8750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679003362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 106",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-688-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR STE 106",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-688-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M. MCCABE, LPC-S, LMFT-S, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-688-5615",
        "authorized_official_credential": "LPC-S, LMFT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17640",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5074",
            "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 Jul 21, 2022; 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.