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ERIC GARDNER
NPI 1558004440
Peer Specialist in Olympia, WA

Active since April 18, 2022
1202 BLACK LAKE BLVD SW, OLYMPIA, WA 98502(360) 878-8248(360) 489-0402 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Gardner NPPES

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

ERIC GARDNER (NPI 1558004440) is an individual peer specialist in Olympia, Washington and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1558004440
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameERIC GARDNER
Location Address1202 BLACK LAKE BLVD SWOlympia, WA 98502-7207
Mailing Address628 I St SwTumwater, WA 98512-6872 · (513) 546-2892
Phone(360) 878-8248
Fax(360) 489-0402
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1558004440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1202 BLACK LAKE BLVD SW, Olympia, WA 98502
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Other Providers at the Same Location NPPES 14

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

MRS. STEPHANIE SUZAN QUIMBY LMP
Massage Therapist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 888-5936
CARLY HEATHER GUTIERREZ
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
WHITNEY BRIANNA MYETTE
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 489-5283
MR. MATTHEW MICHAEL KRNICH
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
RANDI MARIE BRATHOLM
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
KERSTIN SYLVIA AYERS
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 764-0345
BRIAN KEITH PRATT JR.
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 968-3170
NOLAN ROBERT CARR
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248

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 Eric Gardner's NPI number?

The NPI number for Eric Gardner is 1558004440. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Eric Gardner located?

Eric Gardner practices at 1202 Black Lake Blvd SW, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Eric Gardner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Eric Gardner was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.