Dianne Cheryl Gawedzinski, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001728 Issued in MO

Practice address

970 Executive Parkway Dr
Saint Louis, MO 63141-6302

Phone

(314) 628-6500

Fax

(314) 514-9916

NPI assigned

Jan 8, 2008

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St. Anthony's Medical Center

  • Psychiatric Hospital
  • Saint Louis, MO
  • NPI 1942486634
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1972788099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6500",
            "fax_number": "314-514-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6500",
            "fax_number": "314-514-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10016 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282106",
            "country_code": "US",
            "telephone_number": "314-525-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWEDZINSKI",
        "first_name": "DIANNE",
        "middle_name": "CHERYL",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "CS001728",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin's Heathcare Management LLC
• Gavini Medical Group,LTD
• Rajendra Gavini, M.D.
• Marisel Gaviria Robertson, LMSW
• Malak Gawdat
• Hiram Alberto Gay, MD
• Jason B Gay, PA-C
• William Arthue Gay Jr., M.D.
• William D Gay, DDS
• Gayathri Dundoo

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.