Individual provider Active NPI

Lynn A. Gardiner, M.F.T.

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1104981166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC30770 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MFC30770CAMDMarriage & Family Therapist
30770CAMDOral 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

Verify at the official NPI Registry.