MICHELLE D GORDON (NPI# 1245551522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245551522 |
| Entity Type | Individual |
| Full Name | MICHELLE D GORDON |
| Credential | LMHC |
| Practice Address |
1695 Main St Springfield MA 01103-1348 |
| Practice Telephone | 4137395592 |
| Practice Fax Number | 4137399972 |
| Mailing Telephone | 4137395592 |
| Mailing Fax Number | 4137399972 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6307 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562941 | Michelle Gordon | Intermediate Care Facility, Mentally Retarded | 15314 Willview Rd, Missouri City, TX 77489-2403 | 2019-01-23 |
| 1174897524 | Michelle L Gordon | Contractor | 1409 Craig Blvd, Edmond, OK 73003-3135 | 2012-03-02 |
| 1316150899 | Michelle Lea Gordon | Counselor | 100 Dar Dr., Crossnore, NC 28616-0249 | 2007-05-08 |
| 1295770907 | Michelle Elaine Gordon | Specialist | 11 Peekskill Hollow Rd # 97, Putnam Valley, NY 10579-3200 | 2006-06-17 |
| 1760032122 | Michelle Renee Gordon | Licensed Practical Nurse | 1199 Vernon Odom Blvd, Akron, OH 44307-1048 | 2019-09-18 |
| 1184108235 | Michelle Diane Gordon | Social Worker | 80 Everett Ave, Chelsea, MA 02150-2339 | 2018-09-24 |
| 1275997413 | Michelle Gordon | Specialist | 673 Columbia Tpke, East Greenbush, NY 12061-2130 | 2016-04-13 |
| 1437404787 | Michelle Gordon | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-23 |
| 1447523972 | Michelle Gordon | Social Worker | 80 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2012-02-14 |
| 1801929526 | Michelle Judith Gordon | Speech-Language Pathologist | 6508 Gunn Highway, Tampa, FL 33625-4022 | 2007-03-13 |
| Street Address |
1695 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255450631 | Community Services Institute, Inc. | Community/Behavioral Health | 1695 Main St, Suite 400, Springfield, MA 01103-1348 | 2007-03-28 |
| 1669087235 | Ashley Marie Jediny | Social Worker | 1695 Main St, Springfield, MA 01103-1348 | 2020-09-10 |
| 1437794914 | Dominick Joseph Smith | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-11-08 |
| 1205477304 | Kianna G Pinkney- Brown | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-10-01 |
| 1073174371 | Alyssa Ann Shock | Student in an Organized Health Care Education/Training Program | 1695 Main St, Suite 400, Springfield, MA 01103-1063 | 2019-06-26 |
| 1114585700 | Emely T Bonilla Rodriguez | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-05-30 |
| 1104397181 | Keith P Dixon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-12-17 |
| 1760957708 | Yesenia Rodriguez | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-10-05 |
| 1649754177 | Emily Polutchko | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-09-20 |
| 1982188496 | Meg Marie Solitario | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
| 1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
| 1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
| 1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
| 1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
Please comment or provide details below to improve the information on MICHELLE D GORDON.
| 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.