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Vikki R Gardner , LPCC-S

Counselor - Professional β€’ Toledo, OH

Active NPI 1104855774 Individual Practitioner Female Practitioner
Practice location in NPPES

3950 Sunforest Ct Fl 2
Toledo, OH 436234485

Call 4194502170 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3950 Sunforest Ct Fl 2

Toledo, OH 436234485

Telephone 4194502170
Fax 4194064590
Organization at the Same NPPES Address or Phone
Withinsight Counseling And Hypnotherapy Facility NPI 1790159093

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ypsilanti, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Vikki Gardner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Vikki Gardner as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Toledo and Ohio

251 active clinicians are listed under Counselor - Professional with a practice address in Toledo, OH (6,928 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Toledo

5.6% of these 251 clinicians have the CMS telehealth indicator.

20.3% of these 251 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E3755

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Michigan - Department Of Licensing And Regulatory Affairs
6401007972 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240708000113

Enrollment State Jurisdiction

OH

PECOS Control ID

5991056756

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

5807 Hampshire Ln

Ypsilanti, MI 481973206

Phone: 4194502170

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🏒
Secondary Practice Location Registered January 14, 2024

Additional practice office at 5807 Hampshire Ln, Ypsilanti, MI 481973206

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Updated Practice Location October 30, 2023

Registered at 3950 SUNFOREST CT FL 2, TOLEDO, OH 436234485 (Tel: 4194502170)

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Updated Business Mailing Address October 30, 2023

Registered at 5807 HAMPSHIRE LN, YPSILANTI, MI 481973206 (Tel: 4194502170)

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Updated Business Mailing Address March 21, 2023

Registered at 5800 MONROE ST BLDG B SUITE 4, SYLVANIA, OH 435602263 (Tel: 4194502170)

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Updated Practice Location March 06, 2020

Registered at 5800 MONROE ST STE B4, SYLVANIA, OH 435602203 (Tel: 4194502170)

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Provider Name / Credentials Updated March 06, 2020

Recorded as VIKKI GARDNER, LPCC-S

βœ…
NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 23, 2015

Registered at 3840 WOODLEY RD., SUITE A, TOLEDO, OH 43606 (Tel: 4195313500)

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Business Mailing Address (Initial Record) November 23, 2015

Registered at 7707 BRASS CREEK CT., DEXTER, MI 481309384 (Tel: 7346785869)

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Provider Name / Credentials (Initial Record) November 23, 2015

Recorded as VIKKI GARDNER, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Counselor (license number reported to NPPES: OH E3755)

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Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104855774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: January 14, 2024
Sole Proprietor: Yes

Mailing Address

5807 Hampshire Ln

Ypsilanti, MI 481973206

Phone: 4194502170

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.