JAMIE GORDON (NPI# 1194915652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194915652 |
| Entity Type | Individual |
| Full Name | JAMIE GORDON |
| Practice Address |
204 Hampton Dr Venice CA 90291-2623 |
| Practice Telephone | 3103996878 |
| Practice Fax Number | 3103991339 |
| Mailing Telephone | 3103996878 |
| Mailing Fax Number | 3103991339 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408036 | Jamie Gordon | Counselor | 2015 S Clarkson St, Denver, CO 80210-4105 | 2017-03-27 |
| 1225187065 | Jamie S. Gordon | Speech-Language Pathologist | 116 Osprey Nest Ct, Blythewood, SC 29016-8024 | 2007-01-10 |
| 1689113433 | Jamie Gordon | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2017-02-13 |
| 1578883823 | Jamie Gordon | Counselor | 4325 Washington Rd, Evans, GA 30809-3966 | 2010-06-09 |
| 1679666861 | Jamie Gordon | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2006-10-02 |
| Street Address |
204 HAMPTON DR |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265569545 | Joaquin Ortega | Rehabilitation Practitioner | 204 Hampton Dr, Dept 3100, Venice, CA 90291-2623 | 2007-02-27 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1194332189 | Jessica Dian Bryant | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-09-24 |
| 1841804135 | Jonathon Vorpe | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-09-03 |
| 1730792540 | Austin Michael Martinez | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-08-31 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700268299 | Regina Deckman | Counselor | 5080 Vassar Rd, Venice, FL 34293-6072 | 2015-06-22 |
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1225022825 | Judith B Steiner | Counselor | 417 Commercial Ct, Suite E, Venice, FL 34292-1655 | 2005-09-09 |
| 1306330568 | Evo Health and Wellness, LLC | Counselor | 340 Sunset Ave, Venice, CA 90291-2632 | 2018-06-20 |
| 1558748228 | Paula Gluck | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2015-05-01 |
| 1780096883 | Melissa E. Rabinoff | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2014-05-22 |
| 1649545823 | Gabriela Cardenas | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2012-03-20 |
| 1811149503 | Denise Wilson | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2008-10-14 |
| 1265608285 | Yelizaveta Avetikova | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2008-04-30 |
| 1982875993 | Jacquelyn Somach | Counselor | 1224 Ridgewood Ave, Venice, FL 34285 | 2008-03-18 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.