STEPHANIE GARDNER (NPI# 1568986644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568986644 |
| Entity Type | Individual |
| Full Name | STEPHANIE GARDNER |
| Credential | CCSS |
| Practice Address |
Po Box 979 Prentiss MS 39474-0979 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6017924872 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 745 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696697 | Stephanie Gardner | Speech-Language Pathologist | 16 Pleasant Point Rd, Branford, CT 06405-5602 | 2020-04-01 |
| 1407271620 | Stephanie Gardner | Licensed Practical Nurse | 51522 Annie Ave, Pleasant Valley, NY 12569 | 2014-02-25 |
| 1538480777 | Stephanie M Gardner | Emergency Medicine | 5262 Carrollton Ave, Indianapolis, IN 46220-3181 | 2010-06-22 |
| 1730704008 | Stephanie Gardner | Speech-Language Pathologist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-06-12 |
| 1902437122 | Stephanie M Gardner | Behavioral Analyst | 1256 Marlkress Rd, Cherry Hill, NJ 08003-2626 | 2020-01-27 |
| 1962976621 | Stephanie Lynn Gardner | Case Manager/Care Coordinator | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-01-16 |
| 1548794936 | Stephanie Sullivan Gardner | Student in an Organized Health Care Education/Training Program | 6565 Fannin St, Houston, TX 77030-2703 | 2017-04-12 |
| 1740632538 | Stephanie Gardner | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713 | 2016-07-06 |
| 1124496401 | Stephanie Gardner | Counselor | 850 Mill St, Reno, NV 89502 | 2015-09-03 |
| 1720488919 | Stephanie L Gardner | Social Worker | 1384 W State Rd, Pleasant Grove, UT 84062-4130 | 2014-08-26 |
| Street Address |
PO BOX 979 |
| City | PRENTISS |
| State | MS |
| Zip Code | 39474-0979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006314 | Patricia Trunnell | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-07-25 |
| 1548787880 | Celeste Ezell | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-28 |
| 1083131494 | Lakia Young | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-25 |
| 1508382359 | Anquenette Miller | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-14 |
| 1003332875 | Lynda Toney | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520794 | Caring Hands Staffing,llc | In Home Supportive Care | 1802 Columbia Ave, Prentiss, MS 39474 | 2018-05-31 |
| 1891183208 | Katie Daley Rush | Nurse Practitioner | 1014 Rose St., Ste. A, Prentiss, MS 39474 | 2015-01-07 |
| 1841621885 | Living Hope; LLC | Assisted Living Facility | 1287 Fred Street, Prentiss, MS 39474 | 2013-12-02 |
| 1922317197 | Martha Ann Stringer | Pharmacist | 1635 Columbia Ave., Prentiss, MS 39474 | 2010-10-05 |
| 1427361666 | Caring Hands Personal Care LLC | Home Health | 1814 Columbia Ave. Ste. B, Prentiss, MS 39474 | 2010-07-16 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1730308206 | James Russell Dumas Jr. | Dentist | 7115 Hwy 13, Prentiss, MS 39474 | 2007-04-24 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1225167430 | Prentiss Regional Hospital and Ecf, Inc. | Skilled Nursing Facility | 1320 Winfield St., Prentiss, MS 39474 | 2007-03-05 |
| 1033292727 | Vonpatton's, LLC | Durable Medical Equipment & Medical Supplies | 2218 Columbia Ave, Prentiss, MS 39474 | 2006-10-24 |
| Find all providers in zip 39474 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006314 | Patricia Trunnell | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-07-25 |
| 1548787880 | Celeste Ezell | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-28 |
| 1083131494 | Lakia Young | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-25 |
| 1508382359 | Anquenette Miller | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-14 |
| 1003332875 | Lynda Toney | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1710598586 | Candace L. Gillespie | Counselor | 829 W South St, Mound Bayou, MS 38762-9797 | 2020-08-13 |
| 1114537651 | Renee Gusta | Counselor | 2367 Trafalgar Dr, Biloxi, MS 39531-2277 | 2020-08-07 |
| 1003424078 | Marquita Lachette Wilson | Counselor | 315 N Madison St, Kosciusko, MS 39090-3341 | 2020-07-16 |
| 1437773546 | Delissa L Castleberry | Counselor | 7112 Home of Grace Dr, Gautier, MS 39553-2728 | 2020-06-04 |
| 1942820717 | Cindy Marie Lescallette Mccarley | Counselor | 295 Willow Creek Dr, Vicksburg, MS 39183-9288 | 2020-04-22 |
| 1689202178 | Nicole Lynn Yenter | Counselor | 800 Van Buren Ave, Oxford, MS 38655-3844 | 2020-03-30 |
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1760022313 | Kyra Reed | Counselor | 3530a Manor Dr Ste 5, Vicksburg, MS 39180-5693 | 2020-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.