COLLEEN E GARDNER LCPC NCC NPI 1235343542

NPI Information

  • NPI: 1235343542
  • Provider Name: COLLEEN E GARDNER, LCPC, NCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 425 S. WHITLEY DR., SUITE #2
    FRUITLAND, ID
    ZIP 83610
  • Phone: (208) 550-5063

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NPI Details

Colleen E Gardner, LCPC, NCC is a professional counselor in Fruitland, ID. Colleen E Gardner, LCPC, NCC NPI is 1235343542. 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:

425 S. WHITLEY DR., SUITE #2
FRUITLAND, ID
ZIP 83610
Phone: (208) 550-5063
Fax: (208) 550-5063

The enumeration date for this NPI number is 5/9/2007 and was last updated on 12/3/2013.

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
1101Y00000XCounselorLPC-1042WYOMINGNo
2101YP2500XCounselorProfessionalLCPC 5007IDAHOYes

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
1108969203MEDICAIDWYOMING
2108969202MEDICAIDWYOMING
3108969200MEDICAIDWYOMING
4108969201MEDICAIDWYOMING

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: 3/30/2025

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