Samantha Michelle Gardiner, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0017319 Issued in CO

Practice address

12567 W Cedar Dr Ste 101
Lakewood, CO 80228-2009

Phone

(303) 691-6095

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1609530864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 NIAGARA ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027036",
            "telephone_number": "303-358-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR STE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "303-691-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "0017319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliette Garcia, PA-C
• Nadine Garcia
• Nico Garcia
• Reiannah Michelle Garcia, L.P.N.
• Gardens Care Homestead
• Holly Gardner
• Jerry Lee Gardner, LPN
• Kirsten Ann Gardzelewski, M.A.
• Edith Garfio-Sanchez
• Jodi Nicole Garner

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.