Beverly Gardner LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1820 Issued in CO

Legal business name

BEVERLY GARDNER LLC

Practice address

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

Phone

(719) 660-5281

Fax

(866) 703-1432

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Gardner, LPCNPI 1003904152

Title

Counselor

Phone

(719) 660-5281

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Gardner

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1003904152
  NPD (past) Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1033483276",
    "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",
            "fax_number": "866-703-1432"
        },
        {
            "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": {
        "organization_name": "BEVERLY GARDNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "719-660-5281",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Beum, RN
• David S Beutler, DO
• Jordan Bevans, PA
• Sophie Bever
• Mia C Beveridge, MSOT
• Beverly Hawpe and Associates, PC
• Mathew Beyak
• Beyaktive Counseling, LLC
• Gavin Beyer
• Jennifer Lynn Beyer, LCSW

• Community/Behavioral Health Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.