MR. LEE RAY GARDNER JR.
NPI 1871635235
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Q: What is Lee Gardner's NPI number?

The NPI number for Lee Gardner is 1871635235. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Lee Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lee Gardner was last updated on March 7, 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.

Active since February 13, 2007

160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 938-2113(408) 977-1136 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Mar 2, 2023 (2 updates tracked since 2023).

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About Mr. Lee Ray Gardner Jr. NPPES

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

MR. LEE RAY GARDNER JR. (NPI 1871635235) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (R1463650322) and active in the NPI registry since February 2007. He maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1871635235

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. LEE RAY GARDNER JR.

Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865

Mailing Address160 E Virginia St Ste 100San Jose, CA 95112-5865 · (408) 457-7100 · Fax (408) 977-1136

Phone(408) 938-2113

Fax(408) 977-1136

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedMarch 7, 2023

✔ NPI 1871635235 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 CA · R1463650322

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

160 E VIRGINIA ST STE 100, San Jose, CA 95112

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Secondary Practice Location 1

Location 1150A South Autumn Street, Employment ServicesSan Jose, CA 95110-2515 · Phone (408) 938-8500 · Fax (408) 286-8988

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.

KATE LOUISE RUSSELL-BOGAN

Student in an Organized Health Care Education/Training Program