KELLEY GARDNER (NPI# 1649599093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649599093 |
| Entity Type | Individual |
| Full Name | KELLEY GARDNER |
| Credential | LMFT |
| Practice Address |
720 Eskenazi Avenue Indianapolis IN 46202 |
| Mailing Address |
6846 Powder Dr Indianapolis IN 46259-7757 |
| Practice Telephone | 3178800000 |
| Mailing Telephone | 3177278136 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 35001701A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493140 | Kelley Rhene Gardner | Nurse Anesthetist, Certified Registered | 7500 Timberlake, Methodist Hospital, Sacramento, CA 95823 | 2006-05-15 |
| 1447693494 | Kelley Ann Gardner | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2013-04-09 |
| Street Address |
720 ESKENAZI AVENUE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| 1417503376 | Konnor Lee Ann Speicher | Social Worker | 720 Eskenazi Avenue, Indianapolis, IN 46202-3762 | 2019-08-15 |
| 1750943353 | Andrew Visco | Social Worker | 720 Eskenazi Avenue, Occ, Ll, Parc Research, Rm Cl-500, Indianapolis, IN 46202 | 2019-07-03 |
| 1881182558 | Alexander M. Croft | Emergency Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building 3rd Floor, Indianapolis, IN 46202 | 2018-04-27 |
| 1811407729 | Eskenazi Medical Group Inc | Family Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building, Ste. F1-200, Indianapolis, IN 46202-5166 | 2017-10-05 |
| 1063942498 | Allen Brooks Barton | Emergency Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building 3rd Floor, Indianapolis, IN 46202 | 2017-06-18 |
| 1689104259 | The Health and Hospital Corporation of Marion County | Ambulance | 720 Eskenazi Avenue, Indianapolis, IN 46202-5166 | 2017-06-15 |
| 1396170288 | Megan R Shrader | Social Worker | 720 Eskenazi Avenue, Ciu, Indianapolis, IN 46202-5166 | 2013-09-10 |
| 1467714907 | Christine Alicia Huang | Emergency Medicine | 720 Eskenazi Avenue, Ft 3, Indianapolis, IN 46202 5187 | 2012-06-11 |
| 1013279835 | Jeanie Han Collins | Social Worker | 720 Eskenazi Avenue, Indianapolis, IN 46202-5166 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1942861059 | Marli Ann Piercy | Marriage & Family Therapist | 819 E 64th St Ste 222, Indianapolis, IN 46220-1695 | 2019-06-28 |
| 1164089603 | Kaitlin Whelan | Marriage & Family Therapist | 815 E 63rd Pl Ste 205, Indianapolis, IN 46220-1885 | 2019-05-21 |
| 1114583721 | Michael James O'connell | Marriage & Family Therapist | 815 E 63rd Pl Ste 203, Indianapolis, IN 46220-1885 | 2019-05-20 |
| 1427516699 | Erica Mack-jackson | Marriage & Family Therapist | 9247 N Meridian St Ste 255, Indianapolis, IN 46260-1879 | 2019-03-06 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.