Michael Lee Gardner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19711 Issued in TX

Practice address

4921 Royal Dr
Fort Worth, TX 76116-8827

Phone

(817) 377-1101

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497773774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 REEF POINT LN",
            "address_2": "SUITE 115",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761357004",
            "telephone_number": "817-915-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 ROYAL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168827",
            "telephone_number": "817-377-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Gerald Gardner, D.O.
• Hannah Brooks Gardner, CRNA
• Kimberley Gardner, NURSE PRACTITIONER
• Lauren Elizabeth Gardner, DO
• Lisa L Gardner, DO
• Tiesha Denice Gardner, LPC
• William Travis Gardner, M.S.
• Casey Nicole Garey, DO
• Glen Thomas Garlington, NP
• Stephen Garlington, LCDC

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.