Cassandra Michelle Gardner

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6598 Issued in OR

Practice address

63159 Boyd Acres Rd
Bend, OR 97701-8516

Phone

(541) 854-5324

NPI assigned

Jul 28, 2017

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.

• Leah Allen LCSW LLC

  • Clinical Social Worker
  • Bend, OR
  • NPI 1912691502
  NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1306360508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 NW 6TH CT",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285107",
            "telephone_number": "971-237-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63159 BOYD ACRES RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018516",
            "telephone_number": "541-854-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 State St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013647",
            "country_code": "US",
            "telephone_number": "503-583-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CASSANDRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice E Garceau
• Molly Marie Garcia-Kaer, M.A.
• Susan L Garcia, R.D.
• Heather Gardiner
• Alison Leigh Gardner, PMHNP
• Jason Andrew Gardner, CADC R
• Patricia Gardner, LCSW
• Paula Skye Gardner, PA-C
• Sara Gardner, LMT
• Adam James Garis, D.C.

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.