RACHAEL LEANNE GARDNER LADC
NPI 1093427916
Counselor - Professional in Lakeville, MN

Q: What is Rachael Gardner's NPI number?

The NPI number for Rachael Gardner is 1093427916. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Q: What is Rachael Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachael Gardner was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since December 22, 2022PECOS EnrolledAccepts Medicare Assignment

17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044(952) 214-8959(952) 214-8960 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Dec 22, 2022 (2 updates tracked since 2022).

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About Rachael Leanne Gardner Ladc NPPES

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

RACHAEL LEANNE GARDNER LADC (NPI 1093427916) is an individual professional provider in Lakeville, Minnesota, licensed in Minnesota (4414) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093427916

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameRACHAEL LEANNE GARDNERCredential: LADC

Location Address17685 JUNIPER PATH STE 303Lakeville, MN 55044-9821

Mailing Address17685 Juniper Path Ste 303Lakeville, MN 55044-9821

Phone(952) 214-8959

Fax(952) 214-8960

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 22, 2022

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1093427916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 4414

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306133 (MN)

17685 JUNIPER PATH STE 303, Lakeville, MN 55044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachael Leanne Gardner Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688117104

PECOS Enrollment IDI20240625000793

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.

Other Providers at the Same Location NPPES 16

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

MS. FADUMA MOHAMED LGSW

Social Worker (Clinical)