MARK EDWARD GARDNER LPC
NPI 1770132623
Counselor - Professional in Erie, PA
About Mark Edward Gardner Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK EDWARD GARDNER LPC (NPI 1770132623) is an individual professional provider in Erie, Pennsylvania, licensed in Pennsylvania (PC011401) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Edward Gardner Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erie, PA 16504
- Reassigned Medicare billing, Pennsylvania enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Gardner's NPI number?
The NPI number for Mark Gardner is 1770132623. It was assigned to this individual provider in the NPPES registry on September 4, 2019.
Where is Mark Gardner located?
Mark Gardner practices at 101 East Avenue, Erie, PA 16507. The listed phone number is (814) 882-8298.
What is Mark Gardner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mark Gardner enrolled in Medicare?
Yes. Mark Gardner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gardner reassigns Medicare benefits to Abcs Of Building Better Lives LLC (Erie, PA). 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 Mark Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Gardner was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mark Edward Gardner, LPC · NPI 1770132623
Professional provider in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 4, 2019.
## Identity
- **NPI:** 1770132623 (Entity type: Individual)
- **Enumerated:** September 4, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC011401 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 EAST AVENUE, Erie, PA 16507
- **Phone:** (814) 882-8298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Abcs Of Building Better Lives LLC (NPI 1922336940, Erie, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1770132623) · Data from the CMS NPPES public registry.