MR. SEAN GARDNER (LPC, MS, LMHC) – Professional Counselor, NPI 1962951004
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 MENTAL HEALTH COUNSELOR in HI
Provider Addresses for MR. SEAN GARDNER (LPC, MS, LMHC)
970 N Kalaheo Ave Ste C201
Kailua, HI 967341872
Phone: (808) 232-4407
Type: Location
4455 NE Highway 20
Corvallis, OR 973309695
Phone: (541) 757-4909
Type: Location
3101 N CENTRAL AVE STE 550
PHOENIX, AZ 850122635
Phone: (602) 230-7373
Fax: (602) 682-7455
Type: Mailing
46-122 KIOWAI ST UNIT 2813
KANEOHE, HI 967446144
Phone: (808) 232-4407
Type: Mailing
235 W WESTERN AVE
AVONDALE, AZ 853231848
Phone: (602) 230-7373
Fax: (602) 230-3086
Type: Location
970 N KALAHEO AVE STE C201
KAILUA, HI 967341872
Phone: (808) 232-4407
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: 2026-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240102002902 | I | Mental Health Counselor | AZ | TBD |
| I20260121003564 | I | Mental Health Counselor | HI | TBD |
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.
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 96734)
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