Individual provider Active NPI

Katherine Peoples, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1730698176
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64830 Issued in TX
Practice address
1007 Mopac Cir Ste 202
Austin, TX 78746-6807
Phone
(512) 763-7451
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64830 TX Primary

Addresses

Primary practice location

1007 Mopac Cir Ste 202
Austin, TX 78746-6807

Mailing address

1007 Mopac Cir Ste 202
Austin, TX 78746-6807
Phone (512) 763-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2025 through Apr 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64830TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ample and Rooted PLLC PastSince Nov 1, 2020 Accepting new patients
Sage Recovery & Wellness Center Past 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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1730698176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MOPAC CIR STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466807",
            "telephone_number": "512-763-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MOPAC CIR STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466807",
            "telephone_number": "512-763-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.