LATASHA GARDNER (NPI# 1235584095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235584095 |
| Entity Type | Individual |
| Full Name | LATASHA GARDNER |
| Credential | LPC |
| Practice Address |
816 Broad St Suite 23 Meriden CT 06450-4350 |
| Mailing Address |
70 Cranberry Ln Cheshire CT 06410-3503 |
| Practice Telephone | 2036302499 |
| Practice Fax Number | 2036302499 |
| Mailing Telephone | 2036302488 |
| Mailing Fax Number | 2036302499 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2820 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008062953 | 05 |
| Street Address |
816 BROAD ST SUITE 23 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791586 | Anneliese Kruppa Sensini | Physical Therapist | 816 Broad St, Suite 17 & 18, Meriden, CT 06450-4350 | 2006-06-20 |
| 1700372356 | Anne Elizabeth Carlson | Physician Assistant | 816 Broad St, Meriden, CT 06450-4350 | 2018-07-06 |
| 1841674520 | Meriden Eye Care, LLC | Optometrist | 816 Broad St, Ste 13, Meriden, CT 06450-4350 | 2015-07-13 |
| 1033538376 | Brenda Adams | Marriage & Family Therapist | 816 Broad St, Suite 23, Meriden, CT 06450-4350 | 2014-04-15 |
| 1336574953 | Laura Gezelman | Nurse Practitioner | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2013-09-13 |
| 1710234448 | Aericka Robyn Khongdy | Nurse Practitioner | 816 Broad St, Suite 29, Meriden, CT 06450-4350 | 2012-08-13 |
| 1548515067 | Contact Lens Consultants, Inc | Optometrist | 816 Broad St, Suite 13, Meriden, CT 06450-4350 | 2012-07-20 |
| 1346505567 | Rashele Yarborough | Family Medicine | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2012-07-13 |
| 1437421765 | Lori Skevas | Nurse Practitioner | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2012-02-02 |
| 1598066698 | Mark A Gregorio | Nurse Practitioner | 816 Broad St, Meriden, CT 06450-4350 | 2010-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1235639444 | Sursatie Devi Chetram-frazier | Counselor | 95 E Main St Ste B10, Meriden, CT 06450-5652 | 2018-02-14 |
| 1407369564 | Jami Kirkbride | Counselor | 3204 Road 139, Meriden, WY 82081 | 2017-11-13 |
| 1689921223 | Karen Armstrong | Counselor | 7 Country Club Rd, Meriden, CT 06450-2520 | 2012-08-14 |
| 1487952537 | Kate E Maldonado | Counselor | 1347 E Main St, Meriden, CT 06450-4854 | 2011-03-13 |
| 1992941660 | Charles David Kaplan | Counselor | 162 Thorpe Ave, Meriden, CT 06450-4842 | 2008-12-30 |
| 1932743879 | Man-up Counseling and Mentoring | Counselor | 1260 E Main St, Meriden, CT 06450-4806 | 2019-11-04 |
| 1801442538 | Nicole Lapointe Celone | Counselor | 384 Pratt St, Meriden, CT 06450-8627 | 2019-08-19 |
| 1093217259 | Noemi Rivera | Counselor | 1 Colony St, Meriden, CT 06451-3210 | 2018-03-05 |
| 1932502101 | Leigh Forte | Counselor | 134 State St, Meriden, CT 06450-3293 | 2014-10-02 |
| Find all providers in MERIDEN | ||||
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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.