REBECCA GARDNER LPCC
NPI 1124759394
Counselor - Professional in Willmar, MN

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
201 28TH AVE SW, WILLMAR, MN 56201(320) 214-8558(320) 235-2733 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rebecca Gardner Lpcc NPPES

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

REBECCA GARDNER LPCC (NPI 1124759394) is an individual professional provider in Willmar, Minnesota and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124759394
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBECCA GARDNERCredential: LPCC
Location Address201 28TH AVE SWWillmar, MN 56201-5241
Mailing AddressPo Box 244Paynesville, MN 56362-0244 · (320) 282-7580
Fax(320) 235-2733
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 20, 2022
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1124759394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
201 28TH AVE SW, Willmar, MN 56201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Gardner Lpcc 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 ID6901241835
PECOS Enrollment IDI20240229003999
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 Rebecca Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group

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 20

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

Marriage & Family Therapist
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Professional)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Addiction (Substance Use Disorder))
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Professional)
201 28TH AVE SW
WILLMAR, MN 56201

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 Rebecca Gardner's NPI number?

The NPI number for Rebecca Gardner is 1124759394. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Rebecca Gardner located?

Rebecca Gardner practices at 201 28th Ave SW, Willmar, MN 56201. The listed phone number is (320) 214-8558.

What is Rebecca Gardner's specialty?

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

Is Rebecca Gardner enrolled in Medicare?

Yes. Rebecca Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rebecca Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Gardner reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). 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 Rebecca Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Gardner accept?

Health plans from HealthPartners and Sanford Health Plan list Rebecca 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 Rebecca Gardner was last updated on December 14, 2023. 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.