DUSTIN HAYES GARDNER (NPI# 1861026031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861026031 |
| Entity Type | Individual |
| Full Name | DUSTIN HAYES GARDNER |
| Credential | CG60997225 - AAC |
| Practice Address |
3510 Steelhammer Dr Centralia WA 98531-4551 |
| Practice Telephone | 3606238020 |
| Practice Fax Number | 3606231072 |
| Mailing Telephone | 3606238020 |
| Mailing Fax Number | 3606231072 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60997225 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366720922 | Dustin J Gardner | Optometrist | 105 Morey Dr, Marysville, OH 43040-1647 | 2011-08-01 |
| Street Address |
3510 STEELHAMMER DR |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
| 1164034468 | Katelyn Dnae Sherrill | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-08-18 |
| 1740808641 | Cindy Sue Shaw | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1003434903 | Naomi Jean Hamilton | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1316561764 | Molly Kathleen Bryan | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-06-02 |
| 1346861002 | Tamie L. Mccrandall | Peer Specialist | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-05-04 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1366078651 | Elise Lenee Hirtzel | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1386270676 | Amy Michelle Dearing | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1730715020 | Timothy Barrett | Social Worker | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1376078246 | Ashley Patrice Broussard | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2017-04-27 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1023552551 | Kelsey Dulle | Counselor | 904 Martin Luther King Drive, Centralia, IL 62801-3058 | 2016-12-19 |
| 1548703580 | Tiana Barbee | Counselor | 904 Mlk Drive, Centralia, IL 62801-3058 | 2016-11-23 |
| 1518411131 | Shelia Wilson | Counselor | 904 E. Martin Luther King, Centralia, IL 62801-3058 | 2016-08-11 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| Find all providers in CENTRALIA | ||||
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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.