COLLEEN E GARDNER LCPC, NCC
NPI 1235343542
Counselor - Professional in Fruitland, ID

Q: What is Colleen Gardner's NPI number?

The NPI number for Colleen Gardner is 1235343542. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Colleen 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 Colleen Gardner was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 09, 2007

425 S. WHITLEY DR., SUITE #2, FRUITLAND, ID 83610(208) 550-5063(208) 550-5063 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Colleen E Gardner Lcpc, Ncc NPPES

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

COLLEEN E GARDNER LCPC, NCC (NPI 1235343542) is an individual professional provider in Fruitland, Idaho, licensed in Idaho (LCPC 5007) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1235343542

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCOLLEEN E GARDNERCredential: LCPC, NCC

Location Address425 S. WHITLEY DR., SUITE #2Fruitland, ID 83610

Mailing Address425 S Whitley Dr Ste 2Fruitland, ID 83619-2681 · (208) 550-5063 · Fax (208) 550-5063

Phone(208) 550-5063

Fax(208) 550-5063

Sole ProprietorNo

Enumeration DateMay 9, 2007

Last NPPES UpdateDecember 3, 2013

✔ NPI 1235343542 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 ID · LCPC 5007

Also ListedCounselorTaxonomy 101Y00000X · License LPC-1042 (WY)

425 S. WHITLEY DR., SUITE #2, Fruitland, ID 83610

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Other Identifiers 4

Medicaid108969203WY

Medicaid108969202WY

Medicaid108969200WY

Medicaid108969201WY

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 Colleen Gardner's NPI number?

The NPI number for Colleen Gardner is 1235343542. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Colleen Gardner located?

Colleen Gardner practices at 425 S. Whitley Dr., Suite #2, Fruitland, ID 83610. The listed phone number is (208) 550-5063.

What is Colleen Gardner's specialty?

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

When was this NPI record last updated?

The NPPES record for Colleen Gardner was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.