Active NPI
Annette Harston Gardner, CMHC
- Mental Health Counselor
- St George, UT
National Provider Identifier
1164967766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10122356-6004
- Practice address
- 169 W 2710 South Cir Ste 203F
St George, UT 84790-7251 - Phone
- (435) 817-9880
- NPI assigned
- Jan 5, 2017
- Last updated
- May 23, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10122356-6004 | UT | Primary |
Addresses
Primary practice location
169 W 2710 South Cir Ste 203F
St George, UT 84790-7251
Mailing address
2639 S 4010 W
Hurricane, UT 84737-7766
Phone (435) 680-2681
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 |
|---|---|---|---|
| 10122356-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Child's Hopeful Journey | Mental Health | Current | Accepting new patients |
Locations
169 W 2710 South Cir
Ste 203F
St George, UT 84790
Phone (435) 817-9880
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- St George, UT
- NPI 1801634142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1164967766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2639 S 4010 W",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847377766",
"telephone_number": "435-680-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W 2710 SOUTH CIR STE 203F",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907251",
"telephone_number": "435-817-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ANNETTE",
"middle_name": "HARSTON",
"credential": "CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10122356-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.