Individual provider Active NPI

Joanna L. Gardy, LMHC

  • Mental Health Counselor
  • Roslindale, MA
National Provider Identifier
1730518101
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6986 Issued in MA
Practice address
4238 Washington St Ste 316
Roslindale, MA 02131-2517
Phone
(617) 851-0171
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6986 MA Primary

Addresses

Primary practice location

4238 Washington St Ste 316
Roslindale, MA 02131-2517

Mailing address

4238 Washington St Ste 316
Roslindale, MA 02131-2517
Phone (617) 851-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6986MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Leggett Group LLC PastSince Feb 22, 2015 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1730518101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 WASHINGTON ST STE 316",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312517",
            "telephone_number": "617-851-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WASHINGTON ST STE 316",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312517",
            "telephone_number": "617-851-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDY",
        "first_name": "JOANNA",
        "middle_name": "L.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

Verify at the official NPI Registry.