HOLLY GARDNER (LMHC) – Mental Health Counselor, NPI 1508563206

HOLLY GARDNER (LMHC) is a healthcare provider. based in Tampa, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. MH21872 (FL). The NPI Number for HOLLY GARDNER (LMHC) is 1508563206

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
HOLLY GARDNER (LMHC)
NPI
1508563206
Phone
(617) 960-6777
Address
20450 COLONIAL HILL DR UNIT 208
Enumeration Date
13 February 2023
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277324305
Graduation Year
2018 (8 years ago)
PAC ID
0143755181
Group Practice PAC ID
5193176006
Professional Enrollment ID
I20241127001172
Address ID
FL336181325TA16502HWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for HOLLY GARDNER (LMHC)

  • 20450 COLONIAL HILL DR UNIT 208

    TAMPA, FL 336473691

    Phone: (617) 960-6777

    Type: Mailing

  • 1787 S PINELLAS AVE STE 400

    TARPON SPRINGS, FL 346891929

    Phone: (727) 422-0996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241127001172IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33647)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193176006View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorLA
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for HOLLY GARDNER (LMHC)?
HOLLY GARDNER (LMHC) — NPI 1508563206 — is the standard way to identify this listing.
Is HOLLY GARDNER (LMHC) still practicing?
HOLLY GARDNER (LMHC) is currently listed as active in the public NPI registry.
What taxonomy line describes HOLLY GARDNER (LMHC)?
For research purposes, treat HOLLY GARDNER (LMHC) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HOLLY GARDNER (LMHC)?
HOLLY GARDNER (LMHC)'s geographic hint is Tampa, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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