Active NPI
Laura Hockenberry Gardner, MA, LLP, LPC
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1447562293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015203
- Practice address
- 3280 E Beltline CT NE
Grand Rapids, MI 49525-9494 - Phone
- (616) 446-0813
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015203 | MI | Primary |
Addresses
Primary practice location
3280 E Beltline CT NE
Grand Rapids, MI 49525-9494
Mailing address
3280 E Beltline CT NE
Grand Rapids, MI 49525-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228000201 | MI | Practitioner - Mental Health Counselor | 0345481719 | Practice locations: Grand Rapids, MI; Southfield, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura Hockenberry Gardner | Mental Health | Current | Accepting new patients |
Locations
3280 Beltline Ct NE
Grand Rapids, MI 49525
Phone (616) 447-3404
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1932699337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1447562293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 E BELTLINE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 E BELTLINE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259494",
"telephone_number": "616-446-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENBERRY GARDNER",
"first_name": "LAURA",
"credential": "MA, LLP, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.