TESSA JEAN GARDNER LCSWA, LCASA
NPI 1851960256
Counselor - Addiction (Substance Use Disorder) in Shallotte, NC

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515(910) 202-9966 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Tessa Jean Gardner Lcswa, Lcasa NPPES

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

TESSA JEAN GARDNER LCSWA, LCASA (NPI 1851960256) is an individual addiction (substance use disorder) provider in Shallotte, North Carolina, licensed in North Carolina (LCAS-27486) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1851960256
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTESSA JEAN GARDNERCredential: LCSWA, LCASA
Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966
Fax(910) 202-9966
Sole ProprietorYes
Medical School CMSOther
Enumeration DateJune 21, 2021
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1851960256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · LCAS-27486
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P016433 (NC)
120 COASTAL HORIZONS DR, Shallotte, NC 28470

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and accepts Medicare assignment

Tessa Jean Gardner Lcswa, Lcasa 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 ID3577075233
PECOS Enrollment IDI20250626002459
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.

Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Community/Behavioral Health
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470

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 Tessa Gardner's NPI number?

The NPI number for Tessa Gardner is 1851960256. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Tessa Gardner located?

Tessa Gardner practices at 120 Coastal Horizons Dr, Shallotte, NC 28470. The listed phone number is (910) 754-4515.

What is Tessa Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tessa Gardner enrolled in Medicare?

Yes. Tessa 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.

What insurance does Tessa Gardner accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Tessa 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 Tessa Gardner was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.