NICOLE GARDNER LPC
NPI 1891402723
Counselor - Professional in Eau Claire, WI

Active since October 31, 2022PECOS Enrolled
2125 HEIGHTS DR STE 1B, EAU CLAIRE, WI 54701(715) 513-6040 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Gardner Lpc NPPES

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

NICOLE GARDNER LPC (NPI 1891402723) is an individual professional provider in Eau Claire, Wisconsin, licensed in Wisconsin (10105-125) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891402723
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE GARDNERCredential: LPC
Location Address2125 HEIGHTS DR STE 1BEau Claire, WI 54701-6146
Mailing Address2125 Heights Dr Ste 1bEau Claire, WI 54701-6146 · (715) 513-6040
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 31, 2022
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1891402723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10105-125
2125 HEIGHTS DR STE 1B, Eau Claire, WI 54701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gardner Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951745223
PECOS Enrollment IDI20240215000820
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 Nicole Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2125 HEIGHTS DR STE 1B
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment

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 2

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

Counselor (Mental Health)
2125 HEIGHTS DR STE 1B
EAU CLAIRE, WI 54701
Counselor (Mental Health)
2125 HEIGHTS DR STE 1B
EAU CLAIRE, WI 54701

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 Nicole Gardner's NPI number?

The NPI number for Nicole Gardner is 1891402723. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Nicole Gardner located?

Nicole Gardner practices at 2125 Heights Dr Ste 1B, Eau Claire, WI 54701. The listed phone number is (715) 513-6040.

What is Nicole Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Gardner enrolled in Medicare?

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

Which organization bills Medicare for Nicole Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gardner reassigns Medicare benefits to Clouds To Clarity Therapy LLC (Eau Claire, WI). 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 Nicole Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield, Security Health Plan and UnitedHealthcare list Nicole 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 Nicole Gardner was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.