JENNIFER GARDNER LPC, NCC
NPI 1649045907
Counselor in Springfield, VA

Q: What is Jennifer Gardner's NPI number?

The NPI number for Jennifer Gardner is 1649045907. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Q: What is Jennifer Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gardner was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 16, 2023PECOS Enrolled

8125 PARKDALE CT, SPRINGFIELD, VA 22153(703) 864-2005 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jennifer Gardner Lpc, Ncc NPPES

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

JENNIFER GARDNER LPC, NCC (NPI 1649045907) is an individual counselor in Springfield, Virginia, licensed in Virginia (0701012660) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649045907

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNIFER GARDNERCredential: LPC, NCC

Location Address8125 PARKDALE CTSpringfield, VA 22153-3603

Mailing Address8125 Parkdale CtSpringfield, VA 22153-3603 · (703) 864-2005

Phone(703) 864-2005

Sole ProprietorYes

Enumeration DateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1649045907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in VA · 0701012660

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.

8125 PARKDALE CT, Springfield, VA 22153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Gardner Lpc, Ncc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affect Therapeutics Inc

76 mi

Rehabilitation, Substance Use Disorder

1001 RESEARCH PARK BLVD STE 100
Charlottesville, VA 22911

Reassigned Medicare billing, District of Columbia enrollment
5 clinicians in this Medicare group

NPI 1104402064 (845) 769-8758

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Gardner's NPI number?

The NPI number for Jennifer Gardner is 1649045907. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Jennifer Gardner located?

Jennifer Gardner practices at 8125 Parkdale Ct, Springfield, VA 22153. The listed phone number is (703) 864-2005.

What is Jennifer Gardner's specialty?

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

Is Jennifer Gardner enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gardner reassigns Medicare benefits to Affect Therapeutics Inc (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Gardner accept?

Health plans from CareSource and Oscar Health list Jennifer 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 Jennifer Gardner was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.