Active NPI
Arlene Gardner, MS
- Mental Health Counselor
- South Holland, IL
National Provider Identifier
1871751396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16107 Lasalle Street
South Holland, IL 60473 - Phone
- (708) 596-9555
- Fax
- (708) 596-9553
- NPI assigned
- May 30, 2008
- Last updated
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
16107 Lasalle Street
South Holland, IL 60473
Mailing address
15127 S. 73Rd Ave
Ste. G
Orland Park, IL 60462
Phone (708) 845-5500
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | Past | 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.
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1083664510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1871751396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15127 S. 73RD AVE",
"address_2": "STE. G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60462",
"telephone_number": "708-845-5500",
"fax_number": "708-845-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16107 LASALLE STREET",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "60473",
"telephone_number": "708-596-9555",
"fax_number": "708-596-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ARLENE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.