Teal Sabian Donese Jackson-Mappus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106374 Issued in TX

Practice address

1500 W 38TH St Ste 32
Austin, TX 78731-6318

Phone

(877) 750-3566

Fax

(888) 356-8766

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Light Counseling Center, PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1831567452
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1881205185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WOODWARD ST APT 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047284",
            "telephone_number": "512-791-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST STE 32",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316318",
            "telephone_number": "877-750-3566",
            "fax_number": "888-356-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MAPPUS",
        "first_name": "TEAL",
        "middle_name": "SABIAN DONESE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106374",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackman Eye
• Gerald Jacknow, M.D.
• Mallory Jacks, CD
• James Morgan Jackson Burns, LPC
• Jackson PK, LLC
• Roseanna Jackson-Parekh, MD
• Adayis Marshay Jackson Sr., L.C.D.C
• Amber Rose Jackson, SLP INTERN
• Ashley Jackson, INHC, CN-P
• Brian Michael Jackson, PA-C

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.