MEDICARE: KATHY MCCABE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	81171	TX

General Provider Information

NPI Number	:	1871451856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY MCCABE LPC

Provider Business Mailing Address
First Line	:	5380 OLD BULLARD RD STE 600-171
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-3607
Country	:	US
Telephone Number	:	903-330-9592
Fax Number	:	903-470-7373

Provider Business Practice Location Address
First Line	:	10697 COUNTY ROAD 159
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-3327
Country	:	US
Telephone Number	:	903-330-9592
Fax Number	:	903-470-7373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/26/2026

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