Jordynn Marie Gardner, CSUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12403870-6005 Issued in UT

Practice address

192 E 200 N Ste 101
St George, UT 84770-2834

Phone

(435) 610-1696

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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": "1285393108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E 200 N STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702834",
            "telephone_number": "435-610-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E 200 N STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702834",
            "telephone_number": "435-610-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JORDYNN",
        "middle_name": "MARIE",
        "credential": "CSUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "12403870-6005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780216507",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilla Ann Garcia, LCSW
• Patricia Garcia
• Alyssa Gardiner
• Annette Harston Gardner, CMHC
• Blake Isaac Gardner, MD
• Kent Eric Gardner, M.D.
• Margaret Jean Gardner, LCSW
• Taylor Gardner, PHARMD
• Charlette Garff, CASUDC
• Jacob Garff, DC

• Addiction (Substance Use Disorder) Counselor in St George, UT
• Providers in St George, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.