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

KAITLYN GARDNER LPC
NPI 1215567128
Counselor - Mental Health in Fayetteville, AR

Active since January 20, 2020
4210 N FRONTAGE RD, FAYETTEVILLE, AR 72703(479) 221-4504 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Jan 20, 2020 (2 updates tracked since 2020).

About Kaitlyn Gardner Lpc NPPES

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

KAITLYN GARDNER LPC (NPI 1215567128) is an individual mental health provider in Fayetteville, Arkansas, licensed in Arkansas (A2001192) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1215567128
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN GARDNERCredential: LPC
Location Address4210 N FRONTAGE RDFayetteville, AR 72703-5001
Mailing Address3901 Rogers Ave Ste CFort Smith, AR 72903-3077 · (479) 651-8383
Phone(479) 221-4504
Sole ProprietorYes
Enumeration DateJanuary 20, 2020
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1215567128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2001192
4210 N FRONTAGE RD, Fayetteville, AR 72703
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MRS. HEALEY EUNICE IKERD LPC/LAMFT
Counselor (Professional)
4210 N FRONTAGE RD
FAYETTEVILLE, AR 72703
Washington County (479) 409-8256
MISS BRENDA LOU BAKER L.C.S.W.,L.A.D.A.C.
Social Worker (Clinical)
4210 N FRONTAGE RD, SUITE 3
FAYETTEVILLE, AR 72703
Washington County (479) 409-1400

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 Kaitlyn Gardner's NPI number?

The NPI number for Kaitlyn Gardner is 1215567128. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Where is Kaitlyn Gardner located?

Kaitlyn Gardner practices at 4210 N Frontage Rd, Fayetteville, AR 72703. The listed phone number is (479) 221-4504.

What is Kaitlyn Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Kaitlyn Gardner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kaitlyn 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 Kaitlyn Gardner was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.