JENNIFER A GORDON (NPI# 1669843124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669843124 |
| Entity Type | Individual |
| Full Name | JENNIFER A GORDON |
| Credential | CADC-II |
| Practice Address |
4295 Brockton Ave Riverside CA 92501 |
| Mailing Address |
5870 Arlington Ave Ste 103 Riverside CA 92504 |
| Practice Telephone | 9513413786 |
| Mailing Telephone | 9513511409 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052581 | Jennifer Lynn Gordon | Technician | 142 Argyle St, Keyser, WV 26726-3329 | 2020-08-03 |
| 1093969842 | Jennifer Marie Gordon | Case Manager/Care Coordinator | 322 N Shore Dr Ste 200, Pittsburgh, PA 15212-5875 | 2008-11-06 |
| 1093979064 | Jennifer Lynn Gordon | Registered Nurse | 516 1/2 Cleveland Blvd, Fayetteville, NY 13066-1110 | 2008-07-17 |
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1831241777 | Jennifer Leigh Gordon | Physical Therapist | 17066 Hwy 3, Webster, TX 77598 | 2007-01-18 |
| 1699877464 | Jennifer L. Gordon | Dentist | 1181 Central Blvd Ste E, Brentwood, CA 94513-2252 | 2006-09-02 |
| 1437112034 | Jennifer Gordon | Specialist/Technologist | 2502 Derby Dr, Fallston, MD 21047-1208 | 2006-04-06 |
| 1487615027 | Jennifer Gordon | Physical Therapist | 14999 Health Center Dr Ste 201, Bowie, MD 20716-1087 | 2006-03-31 |
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1427667864 | Jennifer Julien Gordon | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-07-30 |
| Street Address |
4295 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275719916 | Sonja Richard-babineaux | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2008-01-11 |
| 1295353050 | Tara Marie Almeida | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2020-07-08 |
| 1891356309 | Joyce Marie Christopher | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2019-06-25 |
| 1598320012 | Clarysa Saldana | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2019-05-09 |
| 1457813321 | Tina Marie Garcia | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2019-04-01 |
| 1629541511 | Heather Ann Jester | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2019-01-03 |
| 1366931677 | Jena Leigh Henson | Counselor | 4295 Brockton Ave, Riverside, CA 92501 | 2018-05-02 |
| 1700390275 | Candace Marie Coppers | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2017-11-20 |
| 1184165151 | Daisy Jasmin Tapia I | Licensed Vocational Nurse | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2017-03-10 |
| 1437697877 | Elena Martinez | Counselor | 4295 Brockton Ave, Riverside, CA 92501-3446 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1124585500 | Cesar Quintana | Counselor | 7177 Brockton Ave Ste 444, Riverside, CA 92506-2635 | 2019-02-21 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750895298 | Tanisha Jordan Balogun | Counselor | 17270 Roosevelt St # 304, Riverside, CA 92508-9523 | 2017-11-20 |
| 1790207058 | Albert Anthony Silva | Counselor | 80 Cove St, Riverside, RI 02915-3637 | 2017-07-07 |
| 1972040061 | Tim O'connell | Counselor | 2085 Rustin Ave Bldg 1, Riverside, CA 92507-2498 | 2017-01-26 |
| 1215397757 | Renee Machado | Counselor | 5484 Cedar St, Riverside, CA 92509-3746 | 2016-02-25 |
| 1831561299 | Alysia Webb | Counselor | 11359 Dole Ct, Riverside, CA 92505-2353 | 2015-10-26 |
| 1053796110 | Jessica Anne Pellegrin | Counselor | 3576 Arlington Ave Suite 102 & 104, Riverside, CA 92506-3907 | 2015-07-29 |
| 1346632379 | Jessica Molina | Counselor | 6860 Brockton Ave # 9, Riverside, CA 92506-3821 | 2015-02-27 |
| Find all providers in RIVERSIDE | ||||
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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.