Jane A. Gardner, PH.D., LPCC-S
Individual provider Active NPI Mental Health Counselor · Olmsted Falls, OH
NPI 1124357348 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1124357348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E-0002077 (OH)
- Practice address
- 7172 Columbia Rd
Suite a
Olmsted Falls, OH 44138-1530 - Phone
- (440) 235-2600
- Fax
- (440) 235-2600
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0002077 | OH | MD | Mental Health Counselor |
| OH1501310 | OH | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E-0002077 | OH | Yes |
| School Counselor | 101YS0200X | OH1501310 | OH |
Addresses
Primary practice location
7172 Columbia Rd
Suite a
Olmsted Falls, OH 44138-1530
Mailing address
7172 Columbia Rd
Suite a
Olmsted Falls, OH 44138-1530
Phone (440) 235-2600
Other providers in Olmsted Falls, OH
- Kristina Fahrner
- Camelia F Filipescu
- Ericka Brooke Fisher
- Renee E. Furyes
- Cynthia M Gamber
- Gentle Path Home Healthcare LLC
- Gentle Path Support Services LLC
- Jacob R Gratzer
- Madena Lesa Green
- Anita L Groeschke
All providers in Olmsted Falls, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.