Active NPI
Ina Renee Mockabee Gardener
- Professional Counselor
- Bedford, OH
National Provider Identifier
1598322422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1901765
- Practice address
- 21843 Norton Rd
Bedford, OH 44146-1252 - Phone
- (216) 839-2273
- NPI assigned
- May 27, 2019
- Last updated
- May 27, 2019
- 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 | C.1901765 | OH | Primary |
Addresses
Primary practice location
21843 Norton Rd
Bedford, OH 44146-1252
Mailing address
24553 White Pine Dr
Bedford, OH 44146-3000
Phone (440) 554-3365
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901765 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558915200000",
"number": "1598322422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24553 WHITE PINE DR",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463000",
"telephone_number": "440-554-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21843 NORTON RD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441461252",
"telephone_number": "216-839-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCKABEE GARDENER",
"first_name": "INA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2019-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1901765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.