Madeline V Gardiner

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MADELINE V GARDINER

Practice address

30107 Saw Grass Trail
Georgetown, TX 78628-1139

Phone

(737) 286-8275

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Vicki Gardiner

Title

Owner

Phone

(737) 286-8275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeline V Gardiner, LPC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1184383002
  Medicare reassignment NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1285456285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30107 SAW GRASS TRAIL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30107 SAW GRASS TRAIL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281139",
            "telephone_number": "737-286-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE V GARDINER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-286-8275"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lo Chuan Ma, L.AC.
• Kent Breedlove Macaulay, DDS
• Ida R. Macdonald, LPC-S
• Ryan Scott Mack, MD
• Dori Lynn Mackel, MA, LMFT
• Monica M Madray, MD
• Erick Magallanes-Coronado, PA-C
• Andrew Glenn Mahaffey, M.D.
• Aakriti Mainali, MBBS
• Sherianne Maiorelle

• 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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.