Active NPI
Macy Pawelek Gardipee, LPC
- Professional Counselor
- South Charleston, WV
National Provider Identifier
1548851967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2811
- Practice address
- 1413 Martha Rd
South Charleston, WV 25303-2917 - Phone
- (210) 816-1524
- NPI assigned
- Jan 28, 2021
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2811 | WV | Primary |
| Professional Counselor | 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 78295 | TX | MD | Professional Counselor |
| 2811 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover & Rebuild Counseling, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- South Charleston, WV
- NPI 1962193268
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.