Frequently Asked Questions


What are your services and fees?

  • 00000 ~ Initial Phone Consultation (Psychiatric Diagnostic Evaluation), 15-20 minutes - $0.00 

  • 90791 Psychiatric Diagnostic Evaluation/Intake, 60 minutes - $130

  • 90837 Psychotherapy, 60 minutes - $130

  • 90834 Psychotherapy, 45 minutes with patient - $120

  • 90832  Psychotherapy, 30 minutes with patient - $65

  • 90839:  Psychotherapy for Crisis, first 60 minutes - $130

Non-Therapeutic/Other Fees NOT Covered By Insurance:  
Late Cancelations, Rescheduling and No Shows - $120.00 per occurrence (see informed consent in client docs. through client portal for more details)
Charge Backs for Returned Checks or Declined Credit or Debit Cards - $30.00
Non-sufficient funds (NSF) - $30.00

Do you accept insurance?

Yes.  Macy Pawelek, LPC provides mental health counseling services to clients who have Aetna, Optum, Oscar Health, United Healthcare, or Oxford health insurance providers.

To check on your health insurance benefits or eligibility, please visit the "Insurance" tab on my website for instructions about how to do this or contact Macy Pawelek via phone or email. 

What are your hours?

Appointments are available Monday-Thursday from 8am-4pm. Available Fridays from 9am-2pm via phone or email only.  

Office Closed:

Saturdays & Sundays

Friday, June 3, 2022

Monday, July 4, 2022

Thanksgiving: November 25-26th

Christmas:  December 24&25th

Where is your office located?

San Marcos, TX, 78666

How do I book an Intake Session?

Contact Macy Pawelek, MA, LPC via email at or phone call at (210) 816-1524 to schedule or have a free 20-minute phone consultation to discuss your concerns and need for counseling.

Are you providing in person sessions during the COVID-19 pandemic?

Yes, I am providing in-person sessions. Clients are required to wear face-masks in the office building and therapy room and cancel their appointment if they have any COVID-19 symptoms, test positive for COVID-19 or come into contact with someone who tests positive for COVID-19.  I also provide virtual/online sessions for clients who are not comfortable meeting in person or prefer the connivence of using online sessions.

Crisis or Emergency?

In the case of an emergency or crisis, please contact the Hill Country MHDD Centers’ Mobile Crisis Outreach Team (MCOT) at 1-877-466-0660, the NATIONAL SUICIDE PREVENTION LIFELINE at 1-800-273-TALK, 911 or your primary care physician.  

If you are an existing client and would like to schedule a crisis session, you may do so by contacting me and asking for my next available appointment.  Messages received after normal business hours or on the weekends will be returned on the following business day.  If you need to talk to someone now, please contact the National Suicide Prevention Lifeline or MCOT listed above.

Are you accepting new clients?

No, Macy Pawelek, LPC with Recover & Rebuild Counseling, LLC is not accepting new clients as of 8/12/22.