Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rachael Leanne Gardner, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093427916

Rachael Leanne Gardner, LADC is a Mental Health Counselor in Lakeville, Minnesota. Qualified in 2021, 5 years ago. Practices with Wild Tree Psychotherapy LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821
Phone: (952) 214-8959
Fax: (952) 214-8960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4414 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306133 (MN)

Record details

NPI number1093427916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedDecember 22, 2022
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wild Tree Psychotherapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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