Jean M Gardiner, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2019016756 Issued in MO

Practice address

13717 Amiot Dr
Saint Louis, MO 63146-3609

Phone

(314) 276-2387

NPI assigned

Oct 2, 2020

Sex

Female

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brinkman & Gardiner LLC

  • Adult Mental Health Clinic/Center
  • Creve Coeur, MO
  • NPI 1679168132
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1639776610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13717 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463609",
            "telephone_number": "314-276-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13717 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463609",
            "telephone_number": "314-276-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019016756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Vanessa Garcia, LMSW
• Garcias Central Residence
• Sabrina Janie Gard, MD, MPH, AAHIVS
• Garden Heights LLC
• Garden Villas of South County, Inc.
• Cooper Gardner, MD
• Danielle Gardner, AA
• Deborah Faye Gardner
• Erin Scott Gardner, M.D.
• Gary John Gardner, N.P.

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.