Katie Joanna Gardner

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

147594 Issued in CA

Practice address

20 Skylark Dr Apt 11
Larkspur, CA 94939-1250

Phone

(415) 562-5957

NPI assigned

Nov 2, 2024

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

Other names 1

• Joanna Katie Gardner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1073336772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SKYLARK DR APT 11",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SKYLARK DR APT 11",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391250",
            "telephone_number": "415-562-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KATIE",
        "middle_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "GARDNER",
            "middle_name": "KATIE",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexander Gregory Frost
• Colette R. Fujimoto, MFT
• Fumio Shibata DDS a Professional Corp
• Maria Raquel Garcia-Ball, RN
• Russell Garcia, D.C.
• Linda Garrett
• Brian Kalani Gee, PT, DPT
• Kent N. Gershengorn, M.D.
• Amy Gin, M.D.
• Jonathan Goff, MD

• All providers in Larkspur, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.