Active NPI
Lynn A. Gardiner, M.F.T.
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1104981166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC30770
- Practice address
- 5175 E Pacific Coast Hwy
Suite 304
Long Beach, CA 90804-3317 - Phone
- (562) 227-2533
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC30770 | CA | Primary |
Addresses
Primary practice location
5175 E Pacific Coast Hwy
Suite 304
Long Beach, CA 90804-3317
Mailing address
5175 E Pacific Coast Hwy
Suite 304
Long Beach, CA 90804-3317
Phone (562) 227-2533
Other names 1
- Lynn A. Arney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311001327 | CA | Practitioner - Marriage and Family Therapist | 6507202793 | Practice locations: Los Alamitos, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30770 | CA | MD | Marriage & Family Therapist |
| 30770 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104981166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5175 E PACIFIC COAST HWY",
"address_2": "SUITE 304",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043317",
"telephone_number": "562-227-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5175 E PACIFIC COAST HWY",
"address_2": "SUITE 304",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043317",
"telephone_number": "562-227-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "LYNN",
"middle_name": "A.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC30770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "ARNEY",
"middle_name": "A.",
"credential": "M.F.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.