Individual provider Active NPI

Jeffrey Patrick Gardner, LMHC

  • Mental Health Counselor
  • Framingham, MA
National Provider Identifier
1497283972
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12003 Issued in MA
Practice address
1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone
(508) 879-9800
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA
Mental Health Counselor 101YM0800X 12003 MA Primary

Addresses

Primary practice location

1 Frederick Abbott Way
Framingham, MA 01701-7992

Mailing address

1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone (508) 879-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001841 MA Practitioner - Mental Health Counselor 6800321365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

225 Foxborough Blvd
Suite 201
Foxborough, MA 02035-3062
Phone (508) 901-4685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12003MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayside Youth and Family Support Network Mental Health CurrentSince Jan 30, 2025 Accepting new patients
Northeast Health Services, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

225 Foxborough Blvd
Ste 201
Foxborough, MA 02035
Phone (508) 901-4685

1 Frederick Abbott Way
Framingham, MA 01701
Phone (508) 270-1275

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1497283972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREDERICK ABBOTT WAY",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017992",
            "telephone_number": "508-879-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREDERICK ABBOTT WAY",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017992",
            "telephone_number": "508-879-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JEFFREY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.