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MS. HALLIE E GARDNER LPCA
NPI 1639676430
Counselor - Professional in Charlotte, NC

Active since April 09, 2018Opted out of Medicare · through Jul 7, 2028
8508 PARK RD, CHARLOTTE, NC 28210(980) 292-4559 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Hallie E Gardner Lpca NPPES

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

MS. HALLIE E GARDNER LPCA (NPI 1639676430) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A12373) and active in the NPI registry since April 2018. She has opted out of Medicare through July 7, 2028.

NPPES Registry Identity

NPI1639676430
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. HALLIE E GARDNERCredential: LPCA
Location Address8508 PARK RDCharlotte, NC 28210-5803
Mailing Address6729 Constitution LnCharlotte, NC 28210-4217 · (732) 890-6140
Phone(980) 292-4559
Sole ProprietorYes
Enumeration DateApril 9, 2018
✔ NPI 1639676430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A12373
8508 PARK RD, Charlotte, NC 28210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Hallie E Gardner Lpca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 7, 2026 through July 7, 2028.

Opt-Out Effective DateJuly 7, 2026
Opt-Out In Effect ThroughJuly 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Hallie Gardner's NPI number?

The NPI number for Hallie Gardner is 1639676430. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Hallie Gardner located?

Hallie Gardner practices at 8508 Park Rd, Charlotte, NC 28210. The listed phone number is (980) 292-4559.

What is Hallie Gardner's specialty?

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

Is Hallie Gardner enrolled in Medicare?

No. Hallie Gardner has opted out of Medicare through July 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Hallie Gardner was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.