Simone Gardner, HSCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4033 Village Park Dr # 123
Knightdale, NC 27545-7044

Phone

(704) 451-8476

Fax

(888) 314-2903

NPI assigned

Jan 29, 2007

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Global Network International, LLC.

  • Case Management Agency
  • Raleigh, NC
  • NPI 1760201131
  NPD Authorized official
• Catawba Mental Health Center

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1831375021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1174669923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 VILLAGE PARK DR STE 123",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "704-451-8476",
            "fax_number": "888-314-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 VILLAGE PARK DR # 123",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "704-451-8476",
            "fax_number": "888-314-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SIMONE",
        "credential": "HSCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ga HC Reit II Knightdale Alf TRS Sub, LLC (TerraBella Knightdale)
• Gaben (Knightdale Pharmacy)
• Gaben (Knightdale Pharmacy)
• Nicole Galante
• Galberth Health
• Carrie Dawn Gearing, LCAS, LPC
• Genesis Healing Center NC
• Genesis Healing Center NC
• Gentle and Gracious Home Care LLC
• Gisel Jenny Gerardo Patricio, BCBA

• Mental Health Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.