Susan Gardin, DR.PH, LMHC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC-4062 Issued in CA

Practice address

2279 Weybridge LN
Los Angeles, CA 90077-1343

Phone

(347) 907-1961

NPI assigned

Aug 7, 2012

Last updated

Feb 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1821345034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 WEYBRIDGE LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771343",
            "telephone_number": "347-907-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 WEYBRIDGE LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771343",
            "telephone_number": "347-907-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117940",
            "country_code": "US",
            "telephone_number": "347-907-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDIN",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DR.PH, LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006234",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC-4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden Hospice, Inc.
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• Gardena Diagnostic, Inc.
• Amber Nicole Gardenhire
• Muneera Gardezi
• Monica Teresa Gardiner, LCSW
• Stella Helen Gardiner
• Artraneen Gardner, MS, LPC, NCC
• Douglas A. Gardner, MD
• Elsa Gardner, RN

• Professional Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.