David Gardner, LMFT-A
Marriage & Family Therapist in Providence, RI. Individual provider (NPI-1).
NPI number1265321103
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1265321103
- Entity type
- Individual (NPI-1)
- Name
- David Gardner
- Credential
- LMFT-A
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2025
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT00040-A | RI | Yes |
Practice location
55 Hope StProvidence, RI 02906-2001
Phone 401-331-1350
Mailing address
18 Berth AveKingston, RI 02881-1204
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 45 Marriage & Family Therapist providers in Providence · All 11,044 providers in Providence
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