DR. JIMMY NOEL GARDNER PH.D. NPI 1831246867

NPI Information

  • NPI: 1831246867
  • Provider Name: DR. JIMMY NOEL GARDNER, PH.D.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1 CHOCTAW WAY
    TALIHINA, OK
    ZIP 74571
  • Phone: (918) 649-0406

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NPI Details

DR. Jimmy Noel Gardner, PH.D. is a mental health counselor in Talihina, OK. DR. Jimmy Noel Gardner, PH.D. NPI is 1831246867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHOCTAW WAY
TALIHINA, OK
ZIP 74571-022
Phone: (918) 649-0406

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/31/2008.

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
1101YM0800XCounselorMental Health0000001795TENNESSEEYes

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
17712661OTHERTENNESSEEAETNA
274120000OTHERTENNESSEEMAGELLAN HEALTH
3410 3815OTHERTENNESSEEBLUE CROSS BLUE SHIELD

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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