Individual provider Active NPI

Carlie Joann Gard

  • Marriage & Family Therapist
  • Greenfield, WI
National Provider Identifier
1659249175
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1196-228 Issued in WI
Practice address
4811 S 76TH St Ste 305
Greenfield, WI 53220-4364
Phone
(414) 325-7741
Fax
(414) 325-7753
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1196-228 WI Primary

Addresses

Primary practice location

4811 S 76TH St Ste 305
Greenfield, WI 53220-4364

Mailing address

4811 S 76TH St Ste 305
Greenfield, WI 53220-4313
Phone (414) 325-7741

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
1196-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Therapeutic Systems S.C. Marriage & Family Therapist CurrentSince Nov 8, 2025 Accepting new patients

Locations

4811 S 76th St
Ste 305
Milwaukee, WI 53220
Phone (414) 325-7741

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1659249175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST STE 305",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204313",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST STE 305",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "CARLIE",
        "middle_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1196-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.