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

Active since June 16, 2021PECOS Enrolled
3921 PROSPERITY AVE, FAIRFAX, VA 22031(804) 475-8892 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2026, Jan 13, 2026, Mar 7, 2024 and 1 more (4 updates tracked since 2021).

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Aunetta Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Virginia LLC
22 mi
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 276 clinicians in this Medicare group
NPI 1417076829 (866) 389-2727
Lighthouse Behavioral Health Center, LLC
94 mi
Community/Behavioral Health
8310 MIDLOTHIAN TPKE
North Chesterfield, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • 37 clinicians in this Medicare group
NPI 1982952545 (804) 447-6382

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 10

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

JANET KEDZIE NP-C
Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (703) 216-1927
BRITTON BALZHISER FNP-C
Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (186) 638-9272
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (703) 280-0237
RENEE LEA KEAST MSN,FNP-BC
Nurse Practitioner (Family)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (866) 389-2727
SARA SALAH PHARMD
Pharmacist
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (703) 280-0237
MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Social Worker (Clinical)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (855) 417-2486
MS. JILL KOCANYAR LPC
Counselor (Professional)
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (708) 280-0237
QUYNH MAI
Pharmacist
3921 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (703) 280-0237

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 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.

Where is Aunetta Gardner located?

Aunetta Gardner practices at 3921 Prosperity Ave, Fairfax, VA 22031. The listed phone number is (804) 475-8892.

What is Aunetta Gardner's specialty?

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

Is Aunetta Gardner enrolled in Medicare?

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

Which organizations bill Medicare for Aunetta Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aunetta Gardner reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and Lighthouse Behavioral Health Center, LLC (North Chesterfield, VA). Each 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 Aunetta Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aunetta Gardner accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Aunetta 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 Aunetta Gardner was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.