1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Counselor
  6. NPI Profile

MARY KATHERINE GARDNER
NPI 1073288569
Counselor - Professional in Little Rock, AR

Active since August 16, 2021PECOS Enrolled
10311 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 781-2230 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 29, 2025, Aug 16, 2021 (2 updates tracked since 2021).

About Mary Katherine Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHERINE GARDNER (NPI 1073288569) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2404010) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073288569
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY KATHERINE GARDNER
Location Address10311 W MARKHAM STLittle Rock, AR 72205-2135
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Phone(501) 781-2230
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1073288569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2404010
10311 W MARKHAM ST, Little Rock, AR 72205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Katherine Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163982984
PECOS Enrollment IDI20260901002132
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chenal Family Therapy, Plc
Same address
Mental Health
10311 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 94 clinicians in this Medicare group
NPI 1356604219 (501) 781-2230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA JOSE GOMEZ BUSTILLO
Counselor (Mental Health)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
KATHERINE HARPER MS, ED. S
Counselor (Mental Health)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
VICTORIA KAITLYN REAP
Counselor (Professional)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
MELANIE C MASSEY
Social Worker
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
CHRISTINE BAILEY
Social Worker (Clinical)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
JESSICA JENNA MILLER LAC
Counselor (Mental Health)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
CHENAL FAMILY THERAPY, PLC
Counselor (Mental Health)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230
MRS. DEVIN ANNETTE DEVLIN MNSC, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10311 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 781-2230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1073288569. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Mary Gardner located?

Mary Gardner practices at 10311 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 781-2230.

What is Mary Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Gardner enrolled in Medicare?

Yes. Mary Gardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gardner reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Gardner accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mary Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.