Deborah Ann Gardner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5356 Issued in LA

Practice address

2913 Betin Ave
Monroe, LA 71201-7257

Phone

(318) 325-7740

NPI assigned

Apr 7, 2015

Last updated

Apr 15, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Delta Human Services Authority

  dba Monroe Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1033551833
  NPD
• Northeast Delta Human Services Authority

  dba Monroe Behavioral Health Child and Family Services - Medical

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1790158681
  NPD
• Primary Health Services Center

  dba PHSC West Monroe Family Health Center

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1104384205
  NPD (past)
• Primary Health Services Center

  dba PHSC Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1316291495
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1073909065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7495",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117495",
            "telephone_number": "318-388-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017257",
            "telephone_number": "318-325-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Garcia, SLP
• Tommy Angelo Garcia
• Gardner Podiatry, Inc. (Gardner Foot Clinic)
• Gardner Surgery Center Inc (Northeast Louisiana Surgery Center)
• David G Gardner, DPM
• Kymyatta Gardner
• Victor Gardner
• Hendrice Garner
• Meredith L Garner, PHARMD
• Christy S Garrett, M.A., CCC-SLP

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.