CARRIE GARDNER (NPI# 1710972922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710972922 |
| Entity Type | Individual |
| Full Name | CARRIE GARDNER |
| Other Name | CARRIE ANDREE |
| Credential | MA, LPC |
| Practice Address |
807 8th St Ste 1212 Wichita Falls TX 76301 |
| Mailing Address |
807 8th St Ste 1212 Wichita Falls TX 76301-3319 |
| Practice Telephone | 9402641212 |
| Practice Fax Number | 9402641213 |
| Mailing Telephone | 9402641212 |
| Mailing Fax Number | 9402641213 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC14599 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 276842-01 | 05 | |
| TX | BCBS PROVIDER ID | 3623LC | 01 |
| TX | TEXAS STATE LICENSE | LPC14599 | 01 |
| TX | 027684202 | 05 | |
| TX | HORIZON BEHAVIORAL ID | 60971 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Midwestern Pkwy. Ste. 212, Wichita Falls, TX 76308 | 9406960181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164807343 | Carrie Gardner | Counselor | 870 Dawnview Ct, Florissant, MO 63031-1927 | 2015-07-29 |
| 1093147183 | Carrie Lee Gardner | Nurse Practitioner | 1350 Highway 231 S, Troy, AL 36081-3058 | 2013-07-31 |
| 1174876403 | Carrie A. Gardner | Physician Assistant | 3000 Hospital Dr, Batavia, OH 45103-1921 | 2012-10-24 |
| 1760638183 | Carrie Michelle Gardner | Pediatrics | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2008-08-18 |
| Street Address |
807 8TH ST STE 1212 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| 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 |
|---|---|---|---|---|
| 1558905737 | Elizabeth Marie Ivey | Counselor | 813 8th St Ste 550-i, Wichita Falls, TX 76301-3305 | 2019-10-31 |
| 1629544036 | Kenda Faye Finn | Counselor | 1402 Longview St, Wichita Falls, TX 76306-4647 | 2018-10-23 |
| 1295249043 | Shelley Renae Crampton | Counselor | 1420 Twin Oaks, Wichita Falls, TX 76302 | 2017-11-30 |
| 1952769879 | Kenneth Cotton | Counselor | 600 11th St, Wichita Falls, TX 76301-4604 | 2016-02-05 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1013348895 | Catherine Quinn | Counselor | 5302 Langford Ln, Wichita Falls, TX 76310-3428 | 2013-12-04 |
| 1689959629 | Charity Hegglund | Counselor | 900 8th St Ste 724, Wichita Falls, TX 76301-6808 | 2011-10-20 |
| 1497940480 | Frank Del Rio | Counselor | 1901 10th St, Suite 105, Wichita Falls, TX 76301-4934 | 2007-09-12 |
| 1902941651 | Susan J Cardwell | Counselor | 2304 Midwestern Parkway, Suite 103a, Wichita Falls, TX 76308-2342 | 2007-02-20 |
| 1831184043 | Sherril Berre | Counselor | 2301 Midwestern Pkwy, Ste. 212, Wichita Falls, TX 76308-2335 | 2005-09-14 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on CARRIE GARDNER.
| 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.