McKenzie Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

83491913502 Issued in UT

Practice address

451 S 200 E
Heber City, UT 84032-2308

Phone

(801) 357-9222

NPI assigned

Jan 31, 2024

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1427811785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S 200 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S 200 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322308",
            "telephone_number": "801-357-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "83491913502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cammi Jo Fruin, AGNP-C
• Kamrie Fryer
• Kiersten Fuller
• Joseph Fullmer, DMD
• Functional Integration Studios LLC
• Rebecca Gardner
• Katherine Gillespie
• Tory Justine Goode, OD
• Gordon S Olsen, DO PC
• Deanna Gordon, DEM

• Mental Health Counselor in Heber City, UT
• Providers in Heber City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.