Aaron F Gardner, MA, LPC, CMHC
Individual provider Active NPI Professional Counselor · Perry, UT
NPI 1952666232 · NPPES record last updated Nov 20, 2017
Key facts
- NPI
- 1952666232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 296354-6004 (UT)
- Practice address
- 2800 S 1200 W
Perry, UT 84302-4226 - Phone
- (435) 723-2881
- Fax
- (435) 734-2719
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1893 E Skyline Dr
Suite 102
Ogden, UT 84403-5382
Phone (801) 686-9334
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313002895 | UT | Practitioner - Mental Health Counselor | 8022454958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Track Counseling LLC | Current |
Accepting new patients |
Locations
1893 E Skyline Dr
Ste 102
South Ogden, UT 84403
Phone (385) 204-4456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 296354-6004 | UT | Yes |
Addresses
Primary practice location
2800 S 1200 W
Perry, UT 84302-4226
Mailing address
2800 S 1200 W
Perry, UT 84302-4226
Phone (801) 686-9334
Other names
- Mr. Fay Aaron Gardner
Other providers in Perry, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.