Active NPI
Monique Yvonne Gardner-Scott, MA, LCPC
- Professional Counselor
- New York, NY
National Provider Identifier
1235663048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180012060
- Practice address
- 2578 Broadway # 607
New York, NY 10025-5642 - Phone
- (212) 284-7206
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 180012060 | IL | Primary |
Addresses
Primary practice location
2578 Broadway # 607
New York, NY 10025-5642
Mailing address
510 W Addison St Apt 101
Chicago, IL 60613-4715
Phone (269) 532-2903
Other names 1
- Monique Gardner
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012060 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1235663048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W ADDISON ST APT 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134715",
"telephone_number": "269-532-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2578 BROADWAY # 607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255642",
"telephone_number": "212-284-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER-SCOTT",
"first_name": "MONIQUE",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "GARDNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.