Nichelsea Gardner, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13674 Issued in TX

Practice address

1732 Katyland Dr
Katy, TX 77493-1751

Phone

(281) 237-6384

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Nichelsea Gardner Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2022.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1013666411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 KATYLAND DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931751",
            "telephone_number": "281-237-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 KATYLAND DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931751",
            "telephone_number": "281-237-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "NICHELSEA",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHELSEA",
            "last_name": "GARDNER",
            "credential": "LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keiasha Garcia
• Kristina Garcia
• Oswaida Elena Garcia
• Veronica Garcia, LCDC
• Fennisha Gardner, LCSW
• Urvashi Garib-Sohan, PHARM.D
• Margaret I Garner
• Garrett a. Bethke,D.D.S., Inc.
• Margaret Annette Garrett
• Linda Garrido, APRN

• All providers in Katy, TX
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.