Individual provider Active NPI

Melanie Gawlik, LMFT

  • Marriage & Family Therapist
  • Beaumont, TX
National Provider Identifier
1457037202
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203899 Issued in TX
Practice address
4749 Odom Rd
Beaumont, TX 77706-7080
Phone
(409) 200-2220
Fax
(409) 440-3344
NPI assigned
Jun 26, 2023
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203899 TX Primary

Addresses

Primary practice location

4749 Odom Rd
Beaumont, TX 77706-7080

Mailing address

105 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone (409) 200-2220

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
I20240121000124 TX Practitioner - Marriage and Family Therapist 8527410042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newpath Group Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Serenity Counseling Center PLLC Multi-Specialty PastSince Jul 1, 2023 Accepting new patients

Locations

4749 Odom Rd
Beaumont, TX 77706
Phone (409) 200-2220

105 Canyon Lake Cir
Lumberton, TX 77657
Phone (409) 200-2220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1457037202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CANYON LAKE CIR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776573701",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 ODOM RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067080",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLIK",
        "first_name": "MELANIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.