Madeline V Gardiner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

82275 Issued in TX

Practice address

4118 Williams Dr Ste 101
Georgetown, TX 78628-1335

Phone

(512) 762-3573

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vicki Gardiner Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madeline V Gardiner

  • Professional Counselor
  • Georgetown, TX
  • NPI 1285456285
  Medicare reassignment NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1184383002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30107 SAW GRASS TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281139",
            "telephone_number": "512-762-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 WILLIAMS DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281335",
            "telephone_number": "512-762-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "MADELINE",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GARDINER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Claudia Garcia-Castro, MOTR/L
• Arianna Magali Garcia, AUD
• Kathryn Michele Garcia, NP-C
• Rosemarie Perez Garcia, AGNP
• Yael Garcia, DC
• Stephen H Garland, MD
• Kathryn Lynn Garner, DPT
• Celia K. Garrett, LPC
• Hali Garrett, LCSW
• Alyssa Celeste Garza, OD

• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.