Individual provider Active NPI

Shawnta Gardener, LPC

  • Professional Counselor
  • Harvey, LA
National Provider Identifier
1023480415
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6710 Issued in LA
Practice address
1901 Manhattan Blvd BLDG D
Harvey, LA 70058-3583
Phone
(504) 913-4062
Fax
(504) 814-7982
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6710 LA Primary

Addresses

Primary practice location

1901 Manhattan Blvd BLDG D
Harvey, LA 70058-3583

Mailing address

3832 Liro LN
Harvey, LA 70058-1965
Phone (504) 913-8098

Other practice location 1

2401 Westbend Pkwy.
Suite 4070
New Orleans, LA 70114
Phone (504) 363-7449

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.taylormadetherapyllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6710LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1023480415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 LIRO LN",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700581965",
            "telephone_number": "504-913-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD BLDG D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583583",
            "telephone_number": "504-913-4062",
            "fax_number": "504-814-7982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Westbend Pkwy.",
            "address_2": "Suite 4070",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70114",
            "country_code": "US",
            "telephone_number": "504-363-7449",
            "fax_number": "504-363-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDENER",
        "first_name": "SHAWNTA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.taylormadetherapyllc.com",
            "affiliation": "N",
            "endpointDescription": "Webpage",
            "address_1": "1901 Manhattan Blvd Bldg D",
            "city": "Harvey",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700583583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.