Active NPI
Hallie E Gardner, LPCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1639676430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12373
- Practice address
- 8508 Park Rd
Charlotte, NC 28210-5803 - Phone
- (980) 292-4559
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | A12373 | NC | Primary |
Addresses
Primary practice location
8508 Park Rd
Charlotte, NC 28210-5803
Mailing address
6729 Constitution LN
Charlotte, NC 28210-4217
Phone (732) 890-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 7, 2026 through Jul 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12373 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1639676430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6729 CONSTITUTION LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104217",
"telephone_number": "732-890-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8508 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282105803",
"telephone_number": "980-292-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "HALLIE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.