Jenny Rebecca Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1610 Piper LN Apt 208
Centerville, OH 45440-5019

Phone

(937) 782-8208

NPI assigned

Apr 17, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1396488441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501953",
            "telephone_number": "317-954-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PIPER LN APT 208",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454405019",
            "telephone_number": "937-782-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Centerville",
            "affiliation": "N",
            "address_1": "1610 Piper Ln Apt 208",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454405019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juliane Gallatin, DDS
• Gallimore Psychiatric Services, LLC
• Tiffani Michelle Gallimore, APRN, CNP, PMHNP-BC
• Julie A Ganley
• Cheyenne Marie Garber
• Scott Allan Gardner, MD
• Catherine Renee Garrett
• Heather Garrett, MED, BCBA
• Erica Gatty
• Kayla Gehle, LISW-S, CCTP-II

• Mental Health Counselor in Centerville, OH
• Providers in Centerville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.