Nichole Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

090572 Issued in NY

Practice address

60 Cottage St
Great Barrington, MA 01230-1302

Phone

(413) 629-1021

NPI assigned

Sep 14, 2016

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

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.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Brien Center for Mental Health and Substance Abuse Services IncGroup PAC ID 7214907906, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Brien Center for Mental Health and Substance Abuse Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsfield, MA
  • NPI 1518984251
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA, NY

  Medicare reassignment NPD
• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment NPD
• Columbia County Mental Health Center

  • Case Management Agency
  • Hudson, NY
  • NPI 1073951075
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1821546227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 YONDERVIEW RD",
            "city": "HILLSDALE",
            "state": "NY",
            "postal_code": "125295051",
            "telephone_number": "518-567-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COTTAGE ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301302",
            "telephone_number": "413-629-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-01-18",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "126126",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "090572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P Foote, PHD
• Isabelle Clark Foster, LICSW
• Steven Freed
• Deborah Frigon
• Sharon Kathleen Gale, PT
• Ava Kathryn Garrett
• Luzvimin D Garzon, M.D.
• GB Operating, LLC (Great Barrington Rehabilitation and Nursing Center)
• Tamera S Gebo-Wilber, PHYSICAL THERAPIST
• Mary Gendler, EDD

• Mental Health Counselor in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.