Mr Kenneth Gary Gardner, LMHC is a
Counselor - Mental Health based in Kokomo, Indiana. Mr Kenneth Gary Gardner is licensed to practice in Indiana (license number 39000566A) and his current practice location is
1810 Dogwood Dr, Kokomo, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 553-5693.
NPI number for Mr Kenneth Gary Gardner is 1598772063 and his current mailing address is 2106 Eastbrook Dr, Kokomo, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598772063.
Healthcare Provider's Profile
Full Name | Mr Kenneth Gary Gardner |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 1810 Dogwood Dr, Kokomo, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598772063
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 09/07/2022
Medical Identifiers
Medical identifiers for Mr Kenneth Gary Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598772063 | NPI | - | NPPES |
GARDN-0005 | Other | IN | COMPCARE ID NUMBER |
000000343499 | Other | IN | ANTHEM BX/BS ID NUMBER |
083845-000 | Other | IN | MAGELLAN ID NUMBER |
11347555 | Other | IN | CAQH ID NUMBER |
2067371 | Other | IN | CIGNA ID NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 80000010A (Indiana) | Secondary |
101YM0800X | Counselor - Mental Health | 39000566A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Gary Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kenneth Gary Gardner, LMHC 2106 Eastbrook Dr, Kokomo, IN 46902-4513 Ph: (765) 455-4067 | Mr Kenneth Gary Gardner, LMHC 1810 Dogwood Dr, Kokomo, IN 46902-5737 Ph: (765) 553-5693 |
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