Vikki R Gardner, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3950 Sunforest CT FL 2
Toledo, OH 43623-4485

Phone

(419) 450-2170

Fax

(419) 406-4590

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vikki Gardner Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Withinsight Counseling and Hypnotherapy

  • Professional Counselor
  • Toledo, OH
  • NPI 1790159093
  NPD Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1104855774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HAMPSHIRE LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973206",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234485",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5807 Hampshire Ln",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481973206",
            "country_code": "US",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "VIKKI",
        "middle_name": "R",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E3755",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "6401007972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKKI",
            "last_name": "GARDNER",
            "credential": "PCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Garden Leasing Co., LLC
• Alicia Michelle Gardiner, CPNP
• Amy L Gardner
• April J Gardner
• Trent Gardner, PT
• Rachel Patricia Gardull, LISW
• Damian Gareau
• Anu Garg, MD
• Sapna Garg, DDS
• Charmaine Garland

• Professional Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.