MR. LEE RAY GARDNER JR. (NPI# 1871635235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871635235 |
| Entity Type | Individual |
| Full Name | MR. LEE RAY GARDNER JR. |
| Practice Address |
150a South Autumn Street Employment Services San Jose CA 95110-2515 |
| Mailing Address |
2001 The Alameda Alliance for Community Care San Jose CA 95126-1136 |
| Practice Telephone | 4089388500 |
| Practice Fax Number | 4082868988 |
| Mailing Telephone | 4082617777 |
| Mailing Fax Number | 4082549960 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952412678 | Lee Robbins Gardner | Psychiatry & Neurology | 54 Forest Rd, Tenafly, NJ 07670-2229 | 2006-08-31 |
| 1598103715 | Lee Sullivan Gardner | Social Worker | 100 Straube Center Blvd, Box H-1, Pennington, NJ 08534-1468 | 2013-06-10 |
| 1750646782 | Lee Gardner | Registered Nurse | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2012-07-05 |
| 1063589612 | Lee S Gardner | Physician Assistant | 2725 Channing Way, Idaho Falls, ID 83404-7510 | 2006-11-29 |
| Street Address |
150A SOUTH AUTUMN STREET EMPLOYMENT SERVICES |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053466755 | Sean Kenneth Egan | Counselor | 150a South Autumn Street, Employment Services, San Jose, CA 95110-2515 | 2007-01-24 |
| 1316092018 | Adrienne Margaret Hall | Counselor | 150a South Autumn Street, Employment Services, San Jose, CA 95110-2515 | 2007-01-24 |
| 1629123351 | Martha Lucia Lopez Lucio | Counselor | 150a South Autumn Street, Employment Services, San Jose, CA 95110-2515 | 2007-01-24 |
| 1386799096 | John Christopher Schadle | Counselor | 150a South Autumn Street, Employment Services, San Jose, CA 95110-2515 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| Find all providers in SAN JOSE | ||||
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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.