KACEY D GARDNER LPCC NPI 1770190704

NPI Information

NPI: 1770190704
Provider Name: KACEY D GARDNER, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
540 S TRIMBLE RD
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-5454
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Kacey D Gardner, LPCC is a professional counselor in Mansfield, OH. Kacey D Gardner, LPCC NPI is 1770190704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 S TRIMBLE RD
MANSFIELD, OH
ZIP 44906-418
Phone: (419) 522-5454

The enumeration date for this NPI number is 9/24/2020 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	E.2303367	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0437098	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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