IndividualActive
Icerica Gardner
NPI 1295460509 · Mental Health Counselor · Hattiesburg, MS
Icerica Gardner is a Mental Health Counselor provider in Hattiesburg, MS (NPI 1295460509).
Provider details
- NPI number
- 1295460509
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4967 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Patton Ave
Hattiesburg, MS 39401-6155
Phone: (601) 582-1111
Fax: (601) 450-0765
Street-level locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Icerica Gardner's NPI number?
- Icerica Gardner's National Provider Identifier (NPI) is 1295460509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Icerica Gardner's specialty?
- Icerica Gardner is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Icerica Gardner located?
- Icerica Gardner's practice location on file with NPPES is 110 Patton Ave, Hattiesburg, MS 39401-6155.
- What is Icerica Gardner's phone number?
- The practice phone number listed in the NPPES registry for Icerica Gardner is (601) 582-1111.
- Is Icerica Gardner's NPI active?
- Yes — Icerica Gardner's NPI (1295460509) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.