Active NPI
Lauren Gardner, LCMHC, PHD
- Professional Counselor
- Chapel Hill, NC
National Provider Identifier
1477949436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10695
- Practice address
- 800 Eastowne Dr Ste 106
Chapel Hill, NC 27514-2215 - Phone
- (919) 272-8125
- NPI assigned
- Apr 7, 2015
- 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 | 10695 | NC | Primary |
Addresses
Primary practice location
800 Eastowne Dr Ste 106
Chapel Hill, NC 27514-2215
Mailing address
2744 Toxey Dr
Raleigh, NC 27609-7643
Other practice location 1
1632 Pricewood Ln
Apex, NC 27502-9410
Phone (919) 272-8125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10695 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1477949436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2744 TOXEY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EASTOWNE DR STE 106",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142215",
"telephone_number": "919-272-8125"
}
],
"practiceLocations": [
{
"address_1": "1632 Pricewood Ln",
"address_purpose": "LOCATION",
"city": "Apex",
"state": "NC",
"postal_code": "275029410",
"country_code": "US",
"telephone_number": "919-272-8125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "LCMHC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.