Carmella C Gardner, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8370 Issued in FL

Practice address

2950 Halcyon Lane
Jacksonville, FL 32223

Phone

(904) 292-2407

Fax

(904) 292-2409

NPI assigned

Sep 29, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Carmella Gardner

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1275998767
  NPD (past) Authorized official
• Southside Counselling Center LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1124304167
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255423638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 CAROL ANN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237394",
            "telephone_number": "902-292-2497",
            "fax_number": "904-292-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HALCYON LANE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-292-2407",
            "fax_number": "904-292-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CARMELLA",
        "middle_name": "C",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden Heals Inc
• Anthony James Gardiner, LPC-S
• Caitlin Gardiner, M.D.
• Audrey Y Gardner
• Brian Ross Gardner, APRN
• Dana Gardner, RD LDN
• Darren Rashaud Gardner
• Harriette Gardner
• Joy Ashley Gardner, M. ED, CCC-SLP
• Kimberly Alexis Gardner

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.