Elaina Nicole Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

G635201630597 Issued in MI

Practice address

30640 Longcrest St
Southfield, MI 48076-1562

Phone

(248) 798-4807

NPI assigned

Sep 1, 2016

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

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1356898829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30640 LONGCREST ST.",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761562",
            "telephone_number": "248-798-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30640 LONGCREST ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761562",
            "telephone_number": "248-798-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ELAINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "G635201630597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizer Garcia, M.D.
• Erica Garcia, LLMFT
• Victor Hugo Garcia, LMSW
• Michele Gardner-Rutledge
• Alyssa Gardner, RDH
• Lamaurice H Gardner, PSYD
• Wynter Gardner
• Lisa Rivkin Garfinkle
• Victoria Gargagliano-Boue
• Nedi Gari, M.D

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.