Individual provider Active NPI

Carolyn M Gardner, LMHC

  • Mental Health Counselor
  • Guilderland, NY
National Provider Identifier
1558817973
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006055 Issued in NY
Practice address
2280 Western Ave
Guilderland, NY 12084-9210
Phone
(518) 456-5056
NPI assigned
Aug 26, 2016
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006055 NY Primary

Addresses

Primary practice location

2280 Western Ave
Guilderland, NY 12084-9210

Mailing address

2280 Western Ave
Guilderland, NY 12084-9210
Phone (518) 456-5056

Other practice location 1

81 Lake Ave
Rochester, NY 14608-1410
Phone (585) 368-6900 ext. 8992

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

State licenses

LicenseStateTypeSpecialty
006055NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karner Psychological Associates PC PastSince Mar 1, 1999 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1558817973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849210",
            "telephone_number": "518-456-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849210",
            "telephone_number": "518-456-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146081410",
            "country_code": "US",
            "telephone_number": "585-368-6900 x8992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.