AUNETTA B GARDNER LPC - NPI 1184292971 - Counselor in Fairfax, VA

Q: What is Aunetta Gardner's NPI number?

The NPI number for Aunetta Gardner is 1184292971. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Aunetta 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 Aunetta Gardner was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Aunetta B Gardner Lpc NPPES

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

AUNETTA B GARDNER LPC (NPI 1184292971) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701010573) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1184292971

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAUNETTA B GARDNERCredential: LPC

Location Address3921 PROSPERITY AVEFairfax, VA 22031-3329

Mailing Address3921 Prosperity AveFairfax, VA 22031-3329

Phone(804) 475-8892

Sole ProprietorYes

Enumeration DateJune 16, 2021

Last NPPES UpdateJune 18, 20264 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1184292971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in VA · 0701010573✔ Licensed in OH · C.2608020

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701010573 (VA)

3921 PROSPERITY AVE, Fairfax, VA 22031

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Secondary Practice Location 1

Location 1955 N 21st StNewark, OH 43055-2921 · Phone (000) 000-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aunetta B Gardner Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.