CONSUELO ANN GARDNER
NPI 1639452667
Counselor in Raleigh, NC

Active since September 26, 2011PECOS Enrolled
107 SUNNYBROOK RD, RALEIGH, NC 27610(704) 939-1100 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, May 1, 2026, Nov 12, 2024 (3 updates tracked since 2024).

About Consuelo Ann Gardner NPPES

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

CONSUELO ANN GARDNER (NPI 1639452667) is an individual counselor in Raleigh, North Carolina and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639452667
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCONSUELO ANN GARDNER
Location Address107 SUNNYBROOK RDRaleigh, NC 27610-1827
Mailing Address284 Executive Park Drive, Suite 100Concord, NC 28025-1894 · (704) 939-1100 · Fax (704) 939-1173
Sole ProprietorNo
Enumeration DateSeptember 26, 2011
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1639452667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C011771 (NC)
107 SUNNYBROOK RD, Raleigh, NC 27610

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Consuelo Ann Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Pharmacy (Institutional Pharmacy)
107 SUNNYBROOK RD, SUITE B
RALEIGH, NC 27610
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Counselor
107 SUNNYBROOK RD
RALEIGH, NC 27610
Psychiatry & Neurology (Psychiatry)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610

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 Consuelo Gardner's NPI number?

The NPI number for Consuelo Gardner is 1639452667. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Consuelo Gardner located?

Consuelo Gardner practices at 107 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (704) 939-1100.

What is Consuelo Gardner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Consuelo Gardner enrolled in Medicare?

Yes. Consuelo Gardner is registered in the Medicare PECOS enrollment system.

What insurance does Consuelo Gardner accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Consuelo 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 Consuelo Gardner was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.