Meredith Gardner, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2020036311 Issued in MO

Practice address

9220 Cyclone School Rd
Lees Summit, MO 64064-2611

Phone

(816) 944-3684

Fax

(888) 827-4136

NPI assigned

Dec 31, 2021

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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.

• New Hope Counseling LLC

  • Community/Behavioral Health Agency
  • Lees Summit, MO
  • NPI 1952619629

  Professional

  NPD

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1366103434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 CYCLONE SCHOOL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642611",
            "telephone_number": "816-944-3684",
            "fax_number": "888-827-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 CYCLONE SCHOOL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642611",
            "telephone_number": "816-944-3684",
            "fax_number": "888-827-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MEREDITH",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020036311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSLIONAL COUNSELOR LICENSE",
            "identifier": "2020036311",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mauricio Garcia, MD
• Nieves Azeneth Garcia
• Michael Andrew Gardiner, R.PH.
• April Scruggs Gardner, FNP, PMH-CNS
• Judy K. Gardner, MS, LPC, NCC
• Susan Marie Gardner, FNP
• Gargano Dental Enterprise LLC
• Mariya Garner, RDH
• Barbara Garrett
• Jacinda N Garrett, FNP

• Professional Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.