Individual provider Active NPI

Leah Gardner

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1891210977
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7495 W Azure Dr
Las Vegas, NV 89130-4416
Phone
(702) 608-7290
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7495 W Azure Dr
Las Vegas, NV 89130-4416

Mailing address

8414 Farm Rd
Las Vegas, NV 89131-8170
Phone (702) 608-7290

Other practice location 1

7473 W Lake Mead Blvd
Las Vegas, NV 89128-0265
Phone (702) 608-7290

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Gardens Therapy, LLC Mental Health Current Accepting new patients
Impact Wellness Center,Inc Past Accepting new patients

Locations

7495 W Azure Dr
Las Vegas, NV 89130
Phone (702) 608-7290

7473 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 608-7290

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1891210977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FARM RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318170",
            "telephone_number": "702-608-7290",
            "fax_number": "702-522-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-608-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7473 W Lake Mead Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280265",
            "country_code": "US",
            "telephone_number": "702-608-7290",
            "fax_number": "702-522-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.