Carol Lesley Mackiewicz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

35 Main St
Sturbridge, MA 01566-1481

Phone

(508) 960-7830

NPI assigned

Mar 19, 2013

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1679815401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OAKES AVE",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661481",
            "telephone_number": "508-960-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIEWICZ",
        "first_name": "CAROL",
        "middle_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MA",
            "license": "9440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booker T Lester, MSW
• Alina Lillis, OTR
• Monica Lindsay, DPT
• Jessica Locke
• Lilybeth V Ly, PT, DPT
• Dan Leo Macumber, D.C.
• Catherine Jean Magdis, P.T.
• Lauren Ashley Maher, BCBA
• Nana Yaa Boatemaa Manu
• Ashley Marcano

• Mental Health Counselor in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.