Individual provider Active NPI

Craig Gardner

  • Marriage & Family Therapist
  • Killeen, TX
National Provider Identifier
1871026633
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202536 Issued in TX
Practice address
1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone
(254) 220-0671
Fax
(254) 300-9938
NPI assigned
Apr 9, 2017
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73743 TX
Marriage & Family Therapist 106H00000X 202536 TX Primary

Addresses

Primary practice location

1519 Florence Rd Ste 5
Killeen, TX 76541-7904

Mailing address

1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone (254) 220-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004989 TX Practitioner - Marriage and Family Therapist 4981055167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gardner Industries LLCGroup PAC ID 2163873340, 8 clinicians

Practice addresses (Care Compare)

331 Indian TRL
Suite 109
Harker Heights, TX 76548-7201
Phone (254) 300-7798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Industries, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

331 Indian Trl
Ste 109
Harker Heights, TX 76548
Phone (254) 300-7798

775 Indian Trl
Ste 200
Harker Heights, TX 76548
Phone (254) 300-7798

1519 Florence Rd
Ste 5
Killeen, TX 76541
Phone (254) 300-7798

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1871026633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-220-0671",
            "fax_number": "254-300-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-220-0671",
            "fax_number": "254-300-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CRAIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73743",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.