Individual provider Active NPI

Macy Pawelek Gardipee, LPC

  • Professional Counselor
  • South Charleston, WV
National Provider Identifier
1548851967
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2811 Issued in WV
Practice address
1413 Martha Rd
South Charleston, WV 25303-2917
Phone
(210) 816-1524
NPI assigned
Jan 28, 2021
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 2811 WV Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 78295 TX

Addresses

Primary practice location

1413 Martha Rd
South Charleston, WV 25303-2917

Mailing address

PO Box 11000
Charleston, WV 25339-1000
Phone (210) 816-1524

Other names 1

  • Macy Elaine Pawelek Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address macy@recoverandrebuild.org Direct
Direct Messaging Address macy@recoverandrebuild.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
78295TXMDProfessional Counselor
2811WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recover & Rebuild Counseling, LLC CurrentSince Jul 16, 2023 Accepting new patients

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, 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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1548851967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11000",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391000",
            "telephone_number": "210-816-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MARTHA RD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253032917",
            "telephone_number": "210-816-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDIPEE",
        "first_name": "MACY",
        "middle_name": "PAWELEK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-07-12",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2811",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "macy@recoverandrebuild.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "910 Gruene Road Bldg 1",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "macy@recoverandrebuild.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1413 Martha Rd",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253032917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACY",
            "last_name": "PAWELEK",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.