Mariel Gardiner Psychotherapy, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARIEL GARDINER PSYCHOTHERAPY, PLLC

Practice address

3111 W Armitage Ave Ste 203
Chicago, IL 60647-3818

Phone

(847) 852-0994

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Mariel Gardiner, LCPCNPI 1366004210

Title

Owner

Phone

(262) 864-3455

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariel Gardiner, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1366004210
  NPD Authorized official
• Amelia Styer

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1093454035
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1073237178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476931",
            "telephone_number": "847-852-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W ARMITAGE AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "847-852-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL GARDINER PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-864-3455",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "3111 W Armitage Ave Ste 203",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606473818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nevenka Maric, MD
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• Marie Shebeck Counseling Services, PLLC
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• Vickie Marie, MA, RD, LDN
• Alia Ruby Mariella, MS CCC-SLP
• Marienda Nutrition LLC
• Brigid M. Marietta, APRN
• Marigold Psychotherapy PLLC
• Alexandra L Marin, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.