Consuelo Gardner
Consuelo Gardner is a Counselor in Raleigh, NC, registered under NPI 1639452667. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 107 SUNNYBROOK RD, Raleigh, NC 27610. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C011771 | NC | Clinical Social Worker |
This provider holds licence C011771 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Social Worker
- PAC ID
- 7618405598
- Enrollment ID
- I20250106001095
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Counselor covers
A 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 experience and supervision for licensure or certification. NUCC Health Care Provider Taxonomy, code 101Y00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101Y00000X | Counselor | — | — | primary |
| 1041C0700X | Clinical Social Worker Clinical | C011771 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1639452667 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 26, 2011 |
| Last updated | May 5, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
107 SUNNYBROOK RD Raleigh, NC 27610 (704) 939-1100 |
| Mailing address |
284 EXECUTIVE PARK DRIVE SUITE 100 Concord, NC 28025 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 4 | 5 | 2 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 8 | 5 | 4 | 6 | 3 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.