ROBERT GORDON, LLC (NPI# 1699133710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699133710 |
| Entity Type | Organization |
| Organization Name | ROBERT GORDON, LLC |
| Other Organization Name | DR. ROBERT GORDON |
| Practice Address |
1023 Executive Parkway Dr Suite 5 Saint Louis MO 63141-6323 |
| Practice Telephone | 6365792983 |
| Mailing Telephone | 6365792983 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | DR. ROBERT J GORDON (FAMILY/MARRIAGE THERAPIST) |
| Authorized Official Telephone | 6363686637 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 300015 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Dr. Robert Gordon | Other Name - Individual/Organization |
| Street Address |
1023 EXECUTIVE PARKWAY DR SUITE 5 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461291 | Linda Medlock | Counselor | 1023 Executive Parkway Dr, Ste 8, Saint Louis, MO 63141-6323 | 2005-07-15 |
| 1477081255 | Margaret Fay | Counselor | 1023 Executive Parkway Dr, Saint Louis, MO 63141-6323 | 2017-05-24 |
| 1760837561 | Samantha Schlepphorst | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2016-04-28 |
| 1336515493 | Kathleen Karigan | Counselor | 1023 Executive Parkway Dr, Saint Louis, MO 63141-6323 | 2015-08-12 |
| 1841535770 | Steven M Dalbey | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2012-12-04 |
| 1255695250 | Serco Holdings, Inc | In Home Supportive Care | 1023 Executive Parkway Dr, Suite 18, Saint Louis, MO 63141-6323 | 2012-06-25 |
| 1376878835 | Elizabeth Ann Hubbard | Counselor | 1023 Executive Parkway Dr, Suite 8, Saint Louis, MO 63141-6323 | 2009-10-16 |
| 1033341334 | David T Koch | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2009-08-20 |
| 1164687000 | Leslie Fisher Bley | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2008-07-21 |
| 1477728400 | Crossroads Christian Counseling | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1508422858 | Patient Advocacy and Education | Community/Behavioral Health | 7006 Woodbridge Creek Ct, Saint Louis, MO 63129-6419 | 2019-05-13 |
| 1154985711 | Chads Coalition for Mental Health | Community/Behavioral Health | 4121 Union Rd Ste 224, Saint Louis, MO 63129-1070 | 2019-04-29 |
| 1104382118 | Vine Life Counseling | Community/Behavioral Health | 2310 S Grand Blvd, Saint Louis, MO 63104-1702 | 2019-02-14 |
| 1831663848 | Latitude Therapy Solutions LLC | Community/Behavioral Health | 8130 Balson Ave, Saint Louis, MO 63130-3607 | 2019-01-14 |
| 1700376423 | Bell Therapeutic Services | Community/Behavioral Health | 4125 Humphrey St, Saint Louis, MO 63116-3824 | 2018-05-17 |
| 1568990505 | Tyree Edward Miller Behavioral Health Services | Community/Behavioral Health | 2829 Gainsboro Ct, Saint Louis, MO 63121-4717 | 2017-06-02 |
| 1316485832 | Reach Out Consulting LLC | Community/Behavioral Health | 5158 Suson Way Ct, Saint Louis, MO 63128-4531 | 2017-02-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.