NICHELLE GARDNER LCPC
NPI 1336622208
Counselor - Professional in Raymond, ME
About Nichelle Gardner Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHELLE GARDNER LCPC (NPI 1336622208) is an individual professional provider in Raymond, Maine, licensed in Maine (CC5906) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Nichelle Gardner Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Nichelle Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Auburn, ME 04210
- Reassigned Medicare billing, Maine enrollment
- 269 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nichelle Gardner's NPI number?
The NPI number for Nichelle Gardner is 1336622208. It was assigned to this individual provider in the NPPES registry on September 7, 2018.
Where is Nichelle Gardner located?
Nichelle Gardner practices at 285 Raymond Hill Rd, Raymond, ME 04071. The listed phone number is (207) 671-7804.
What is Nichelle Gardner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nichelle Gardner enrolled in Medicare?
Yes. Nichelle 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 Nichelle Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichelle Gardner reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, ME). 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 Nichelle Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichelle Gardner accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nichelle 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 Nichelle Gardner was last updated on October 26, 2024. 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.
# Nichelle Gardner, LCPC · NPI 1336622208
Professional provider in Raymond, Maine. Individual provider, active in the CMS NPPES registry since September 7, 2018.
## Identity
- **NPI:** 1336622208 (Entity type: Individual)
- **Enumerated:** September 7, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC5906 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 285 RAYMOND HILL RD, Raymond, ME 04071-6148
- **Phone:** (207) 671-7804
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Health Affiliates Maine, LLC (NPI 1932413556, Auburn, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336622208) · Data from the CMS NPPES public registry.