MR. BRYAN GIESE GARDNER LMFT 116141
NPI 1639693211
Marriage & Family Therapist in Watsonville, CA

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
519 MAIN ST, WATSONVILLE, CA 95076(831) 688-8840 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2023, Jun 14, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Mr. Bryan Giese Gardner Lmft 116141 NPPES

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

MR. BRYAN GIESE GARDNER LMFT 116141 (NPI 1639693211) is an individual marriage & family therapist in Watsonville, California, licensed in California (116141) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639693211
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. BRYAN GIESE GARDNERCredential: LMFT 116141
Location Address519 MAIN STWatsonville, CA 95076-4356
Mailing Address711 E Cliff DrSanta Cruz, CA 95060-5108 · (831) 688-8840
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 26, 2017
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
NPI 1639693211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 116141 Licensed in CA · 95675
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X · License 95675 (CA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 95675 (CA)
519 MAIN ST, Watsonville, CA 95076

Secondary Practice Locations 2

Location 1290 Ioof AveGilroy, CA 95020 · Phone (408) 846-2100
Location 25671 Santa Teresa Blvd Ste 104San Jose, CA 95123-6515 · Phone (408) 791-1142

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Bryan Giese Gardner Lmft 116141 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.

PECOS PAC ID1052881976
PECOS Enrollment IDI20260601002120
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

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

Counselor
519 MAIN ST
WATSONVILLE, CA 95076

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 Bryan Giese Gardner's NPI number?

The NPI number for Bryan Giese Gardner is 1639693211. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Bryan Giese Gardner located?

Bryan Giese Gardner practices at 519 Main St, Watsonville, CA 95076. The listed phone number is (831) 688-8840.

What is Bryan Giese Gardner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bryan Giese Gardner enrolled in Medicare?

Yes. Bryan Giese 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.

When was this NPI record last updated?

The NPPES record for Bryan Giese Gardner was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.