Jesse Thomas Gardiner, BA, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP5870 Issued in NV

Practice address

975 Roberta LN
Sparks, NV 89431-6812

Phone

(775) 525-1616

NPI assigned

Aug 24, 2022

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

Practice roles

Locations

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.

• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment NPD
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD
• State of Nevada

  dba Elko Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elko, NV
  • NPI 1306936653
  NPD
• Garrison, Wiskerchen & Coates, LTD

  dba Zephyr Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sparks, NV
  • NPI 1336534361
  NPD (past)
• State of Nevada

  dba Winnemucca Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnemucca, NV
  • NPI 1275623530
  NPD (past)
• State of Nevada

  dba Silver Springs Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Springs, NV
  • NPI 1811079742
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1982323713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2743",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022743",
            "telephone_number": "702-768-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316812",
            "telephone_number": "775-525-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "JESSE",
        "middle_name": "THOMAS",
        "credential": "BA, MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5170",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5170",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Garcia
• Melvin Garcia, RN
• Sandra Garcia
• Sarah Garcia
• Madison Gardecki
• Autumn Renee Gardner, APN
• Rosalyn Gardner, RN
• Terri Garrison
• Garrison, Wiskerchen & Coates, LTD (Zephyr Wellness)
• Anastasiia Gartsueva

• Professional Counselor in Sparks, NV
• Providers in Sparks, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.