Individual provider Active NPI

Katy David, M.A., L.P.C

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1881092807
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69652 Issued in TX
Practice address
1210 Rosewood Ave
Austin, TX 78702-2023
Phone
(512) 660-9611
Fax
(305) 832-0971
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69652 TX Primary

Addresses

Primary practice location

1210 Rosewood Ave
Austin, TX 78702-2023

Mailing address

1600 Maple Ave # 1
Austin, TX 78702-1405
Phone (512) 660-9611

Other names 1

  • Katy David Mguffey Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katy@bloomtherapyaustin.com Bloom Therapy, PLLC

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
I20240613001265 TX Practitioner - Mental Health Counselor 1254770357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bloom Therapy PLLCGroup PAC ID 2365881455, 4 clinicians

Practice addresses (Care Compare)

1206 W 43Rd St
Austin, TX 78756-3302
Phone (512) 710-7645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
69652TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy, PLLC Professional CurrentSince May 3, 2024 Accepting new patients

Locations

1205 W 43rd St
Austin, TX 78756
Phone (512) 660-9611

1206 W 43rd St
Austin, TX 78756
Phone (512) 660-9611

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881092807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MAPLE AVE # 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021405",
            "telephone_number": "512-660-9611",
            "fax_number": "512-684-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROSEWOOD AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022023",
            "telephone_number": "512-660-9611",
            "fax_number": "305-832-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KATY",
        "credential": "M.A., L.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katy@bloomtherapyaustin.com",
            "affiliation": "Y",
            "affiliationName": "Bloom Therapy, PLLC",
            "address_1": "1210 Rosewood Ave",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787022023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "MGUFFEY",
            "middle_name": "DAVID",
            "credential": "M.A., L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.