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KATIE BLOODWORTH LPC
NPI 1023841442
Counselor - Professional in Austin, TX

Active since August 21, 2024Opted out of Medicare · through Jan 30, 2028
5511 PARKCREST DR, AUSTIN, TX 78731(512) 200-3738 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2026, Mar 12, 2026, Mar 3, 2026 and 1 more (4 updates tracked since 2024).

About Katie Bloodworth Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE BLOODWORTH LPC (NPI 1023841442) is an individual professional provider in Austin, Texas, licensed in Texas (92153) and active in the NPI registry since August 2024. She has opted out of Medicare through January 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023841442
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE BLOODWORTHCredential: LPC
Location Address5511 PARKCREST DRAustin, TX 78731-4938
Mailing Address4159 Steck Ave Unit 228Austin, TX 78759-8527 · (512) 981-6492
Phone(512) 200-3738
Sole ProprietorNo
Enumeration DateAugust 21, 2024
Last NPPES UpdateMay 1, 20264 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1023841442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 92153
5511 PARKCREST DR, Austin, TX 78731
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katie Bloodworth Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2026 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2026
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNETTE ANNETTE ENABABOR
Pharmacist
5511 PARKCREST DR, SUITE 103
AUSTIN, TX 78731
Travis County (301) 806-8364
KATIE BLOODWORTH COUNSELING
Counselor (Professional)
5511 PARKCREST DR
AUSTIN, TX 78731
Travis County (512) 200-3738
DR. SHERRY ELIZABETH DICKEY PH.D.
Specialist
5511 PARKCREST DR, STE. 206
AUSTIN, TX 78731
Travis County (512) 452-3035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Bloodworth's NPI number?

The NPI number for Katie Bloodworth is 1023841442. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Katie Bloodworth located?

Katie Bloodworth practices at 5511 Parkcrest Dr, Austin, TX 78731. The listed phone number is (512) 200-3738.

What is Katie Bloodworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katie Bloodworth enrolled in Medicare?

No. Katie Bloodworth has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katie Bloodworth was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.