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PHYLLIS GARDNER M.A.
NPI 1366458598
Counselor - Professional in Pueblo, CO

Active since July 31, 2006
924 INDIANA AVE, PUEBLO, CO 81004(719) 564-9039(719) 561-8752 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Gardner M.a. NPPES

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

PHYLLIS GARDNER M.A. (NPI 1366458598) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (1497) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366458598
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePHYLLIS GARDNERCredential: M.A.
Location Address924 INDIANA AVEPueblo, CO 81004-3747
Mailing Address924 Indiana AvePueblo, CO 81004-3747 · (719) 564-9039 · Fax (719) 561-8752
Phone(719) 564-9039
Fax(719) 561-8752
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1366458598 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 CO · 1497
Also ListedRegistered NurseTaxonomy 163W00000X · License 35889 (CO)
924 INDIANA AVE, Pueblo, CO 81004
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Other Providers at the Same Location NPPES 20

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

STEVEN ARMENTA
Behavior Technician
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (833) 666-2919
MR. EMMET F. BELLVILLE III MA, MA
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 564-9039
KAI ARRIAGA
Behavior Technician
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (833) 666-2919
DAVID FERRELL M.ED.
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 564-9039
ROLAND QUINTANILLA
Behavior Technician
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (833) 666-2919
MANUEL BARRADAS
Behavior Technician
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (833) 666-2919
MARY TWINEM PSY.D., M.A.
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 564-9039
TOM TAFOYA
Social Worker (Clinical)
924 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 564-9039

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 Phyllis Gardner's NPI number?

The NPI number for Phyllis Gardner is 1366458598. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Phyllis Gardner located?

Phyllis Gardner practices at 924 Indiana Ave, Pueblo, CO 81004. The listed phone number is (719) 564-9039.

What is Phyllis 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 Phyllis Gardner was last updated on September 11, 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.