MR. SEAN GARDNER LPC, MS, LMHC
NPI 1962951004
Counselor - Professional in Avondale, AZ

Q: What is Sean Gardner's NPI number?

The NPI number for Sean Gardner is 1962951004. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Q: What is Sean Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Gardner was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 30, 2016PECOS Enrolled

235 W WESTERN AVE, AVONDALE, AZ 85323(602) 230-7373(602) 230-3086 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, Jul 12, 2019, Sep 30, 2016 (3 updates tracked since 2016).

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About Mr. Sean Gardner Lpc, Ms, Lmhc NPPES

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

MR. SEAN GARDNER LPC, MS, LMHC (NPI 1962951004) is an individual professional provider in Avondale, Arizona, licensed in Arizona (LPC-19450) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962951004

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. SEAN GARDNERCredential: LPC, MS, LMHC

Location Address235 W WESTERN AVEAvondale, AZ 85323-1848

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 230-3086

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 30, 2016

Last NPPES UpdateDecember 1, 20233 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1962951004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-19450

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHC-613 (HI)

235 W WESTERN AVE, Avondale, AZ 85323

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Secondary Practice Locations 2

Location 1970 N Kalaheo Ave Ste C201Kailua, HI 96734-1872 · Phone (808) 232-4407

Location 24455 NE Highway 20Corvallis, OR 97330-9695 · Phone (541) 757-4909

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sean Gardner Lpc, Ms, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820448905

PECOS Enrollment IDI20260121003564

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.

ERIN HAMMIT LPC

Counselor (Professional)