Beverly Gardner

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1820 Issued in CO

Practice address

10 Boulder Crescent St
Suite 203F
Colorado Springs, CO 80903-3344

Phone

(719) 660-5281

Fax

(866) 703-1432

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Beverly Gardner LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1033483276
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1003904152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "SUITE 203F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033344",
            "telephone_number": "719-660-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST",
            "address_2": "SUITE 203F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033344",
            "telephone_number": "719-660-5281",
            "fax_number": "866-703-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden of the Gods Senior Living LLC
• Garden Ranch LLC
• Garden Ride LLC
• Alyssa Marie Gardner
• Barry Lee Gardner, M.D.
• Dan Gardner, PT
• Elizabeth Gardner
• Harry Gardner, LPC
• Paul Jeffrey Gardner, MS ATC
• Robert Cheek Gardner, M.D.

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.