Individual provider Active NPI

Connie C. Gardner, LPC

  • Counselor
  • Tappahannock, VA
National Provider Identifier
1659531028
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701004280 Issued in VA
Practice address
218 Maple Valley Rd
Tappahannock, VA 22560-5662
Phone
(434) 390-3512
Fax
(804) 442-7081
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701004280 VA Primary

Addresses

Primary practice location

218 Maple Valley Rd
Tappahannock, VA 22560-5662

Mailing address

218 Maple Valley Rd
Tappahannock, VA 22560-5662
Phone (434) 390-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

218 Maple Valley Rd
Tappahannock, VA 22560-5662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2665VAMDCommunity/Behavioral Health Agency
0701004280VAMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Counseling Services Counselor CurrentSince Jun 19, 2026 Accepting new patients

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1659531028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAPLE VALLEY RD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605662",
            "telephone_number": "434-390-3512",
            "fax_number": "804-442-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAPLE VALLEY RD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605662",
            "telephone_number": "434-390-3512",
            "fax_number": "804-442-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CONNIE",
        "middle_name": "C.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701004280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.