Shelley Gardner, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NH93 Issued in NH

Practice address

20 Mary E Clark Dr
Unit 8
Hampstead, NH 03841-2292

Phone

(603) 964-4869

Fax

(603) 964-4980

NPI assigned

Mar 20, 2007

Last updated

Jun 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shelley Cushner Gardner Counseling PLLC

  • Community/Behavioral Health Agency
  • Hampstead, NH
  • NPI 1689021800
  Authorized official Same address or phone
• Woodland Professional Associates LLC

  • Cognitive & Behavioral Psychologist
  • Hampstead, NH
  • NPI 1184777674

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1962527044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARY E CLARK DR",
            "address_2": "UNIT 8",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412292",
            "telephone_number": "603-964-4869",
            "fax_number": "603-964-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARY E CLARK DR",
            "address_2": "UNIT 8",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412292",
            "telephone_number": "603-964-4869",
            "fax_number": "603-964-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SHELLEY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "NH93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Granite Fields Dental, PLLC

• Mental Health Counselor in Hampstead, NH
• Providers in Hampstead, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.