Active NPI
Ciara Gardner
- Professional Counselor
- La Place, LA
National Provider Identifier
1114473196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7229
- Practice address
- 576 Belle Terre Blvd
La Place, LA 70068-1715 - Phone
- (504) 493-2271
- Fax
- (985) 359-2399
- NPI assigned
- Aug 29, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7229 | LA | Primary |
Addresses
Primary practice location
576 Belle Terre Blvd
La Place, LA 70068-1715
Mailing address
1870 Pineglen Dr
Saint Gabriel, LA 70776-4618
Phone (225) 206-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7229 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Cognitive Development Center of Baton Rouge | Past | Accepting new patients |
Interoperability endpoints
- ciaragardner@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467745000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1114473196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 PINEGLEN DR",
"city": "SAINT GABRIEL",
"state": "LA",
"postal_code": "707764618",
"telephone_number": "225-206-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 BELLE TERRE BLVD",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681715",
"telephone_number": "504-493-2271",
"fax_number": "985-359-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "CIARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.