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AVERY MCCOY GARDNER
NPI 1912790916
Counselor - Mental Health in South Burlington, VT

Active since May 23, 2025
1233 SHELBURNE RD STE 203, SOUTH BURLINGTON, VT 05403(802) 391-0704 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avery Mccoy Gardner NPPES

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

AVERY MCCOY GARDNER (NPI 1912790916) is an individual mental health provider in South Burlington, Vermont, licensed in Vermont (097.0136418) and active in the NPI registry since May 2025. She maintains a secondary practice location in Winooski.

NPPES Registry Identity

NPI1912790916
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAVERY MCCOY GARDNER
Location Address1233 SHELBURNE RD STE 203South Burlington, VT 05403-7733
Mailing Address201 West St Apt AWinooski, VT 05404-1775 · (609) 661-2423
Phone(802) 391-0704
Sole ProprietorYes
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1912790916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VT · 097.0136418✔ Licensed in OH · C.2406382
1233 SHELBURNE RD STE 203, South Burlington, VT 05403
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Secondary Practice Location 1

Location 1201 West St Apt AWinooski, VT 05404-1775 · Phone (802) 391-0704

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 Avery Gardner's NPI number?

The NPI number for Avery Gardner is 1912790916. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Avery Gardner located?

Avery Gardner practices at 1233 Shelburne Rd Ste 203, South Burlington, VT 05403. The listed phone number is (802) 391-0704.

What is Avery Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Avery Gardner was last updated on May 23, 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.