MRS. MACAYLA MARIE GERDOVICH LPC
NPI 1427526193
Counselor - Professional in Ottawa, IL

Active since November 11, 2018
643 W MAIN ST, OTTAWA, IL 61350(866) 541-5299(815) 214-2101 Get Directions Write a Review

NPPES record last updated: November 11, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Macayla Marie Gerdovich Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MACAYLA MARIE GERDOVICH LPC (NPI 1427526193) is an individual professional provider in Ottawa, Illinois, licensed in Illinois (178.013904) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1427526193
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MACAYLA MARIE GERDOVICHCredential: LPC
Location Address643 W MAIN STOttawa, IL 61350-2717
Mailing Address825 N 2401st RdOglesby, IL 61348-9750 · (815) 343-8344
Fax(815) 214-2101
Sole ProprietorNo
Enumeration DateNovember 11, 2018
NPI 1427526193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178.013904
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 2368884 (IL)
643 W MAIN ST, Ottawa, IL 61350

Other Names 1

Former Name (1)Miss Macayla Marie Maynard Lpc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
643 W MAIN ST
OTTAWA, IL 61350
Chiropractor
643 W MAIN ST
OTTAWA, IL 61350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macayla Gerdovich's NPI number?

The NPI number for Macayla Gerdovich is 1427526193. It was assigned to this individual provider in the NPPES registry on November 11, 2018. The provider is also known as Miss Macayla Marie Maynard Lpc.

Where is Macayla Gerdovich located?

Macayla Gerdovich practices at 643 W Main St, Ottawa, IL 61350. The listed phone number is (866) 541-5299.

What is Macayla Gerdovich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Macayla Gerdovich was last updated on November 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.