NPI age
19 years
Enumerated 2007-05-09
● Active
Type 1 · Individual
Colleen E Gardner, LCPC, NCC
Gardner is 1 of 7 counselor providers in Fruitland and 1 of 1313 in Idaho.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, WY
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-12-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1313 active counselor providers in Idaho.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
425 S. Whitley Dr., Suite #2
Fruitland, ID 83610
Mailing address
425 S Whitley Dr Ste 2
Fruitland, ID 836192681
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WY) | 108969201 | |
| 05 (WY) | 108969203 | |
| 05 (WY) | 108969200 | |
| 05 (WY) | 108969202 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.