Shante Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6009 Financial PLZ Ste 230
Shreveport, LA 71129

Phone

(318) 670-8858

Fax

(318) 670-8947

NPI assigned

Mar 7, 2017

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1942740162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LINE AVE",
            "address_2": "SUITE 230",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014621",
            "telephone_number": "318-670-8858",
            "fax_number": "318-670-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 FINANCIAL PLZ STE 230",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-670-8858",
            "fax_number": "318-670-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SHANTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160699",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Gardner
• Jennifer Suzette Gardner
• Kelly Martin Gardner, R.N
• Lawrence Gale Gardner, M.D.
• Marissa Gardner
• Mason Tauer Garfield, PA-C
• Ellise Latryce Garmon
• Garner Counseling Services LLC
• Quintraia Garner, LPC
• Roland Deshane Garner Jr.

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.