Individual provider Active NPI

Kathryn D. Gardner, LCPC, LMHC

  • Professional Counselor
  • Tampa, FL
National Provider Identifier
1861550402
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005469 Issued in IL
Practice address
10329 Cross Creek Blvd Ste N
Tampa, FL 33647-2994
Phone
(813) 771-0888
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH23794 FL
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.005469 IL
Professional Counselor 101YP2500X 180005469 IL Primary

Addresses

Primary practice location

10329 Cross Creek Blvd Ste N
Tampa, FL 33647-2994

Mailing address

10329 Cross Creek Blvd Ste N
Tampa, FL 33647-2994
Phone (813) 771-0888

Other names 1

  • Ms. Kathryn D. Michalski Former name

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
MH23794FLMDProfessional Counselor
180.005469ILMDProfessional Counselor
180005469ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1861550402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10329 CROSS CREEK BLVD STE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472994",
            "telephone_number": "813-771-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10329 CROSS CREEK BLVD STE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472994",
            "telephone_number": "813-771-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KATHRYN",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH23794",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005469",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MICHALSKI",
            "middle_name": "D.",
            "prefix": "MS.",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.