JUDITH L GORDON (NPI# 1700220233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700220233 |
| Entity Type | Individual |
| Full Name | JUDITH L GORDON |
| Credential | LPC |
| Practice Address |
3288 E Pine Ave Meridian ID 83642-5922 |
| Mailing Address |
11898 W Goldenrod Ave Boise ID 83713-2439 |
| Practice Telephone | 2088888887 |
| Practice Fax Number | 2086580153 |
| Mailing Telephone | 2086589703 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178 | ID | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
178 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609987536 | Judith R Gordon | Psychologist | 753 N 35th St, Suite 305, Seattle, WA 98103-8870 | 2006-08-31 |
| 1609268986 | Judith Gordon | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2015-02-24 |
| 1538370333 | Judith Lynne Gordon | Counselor | 1000 Medical Road, Millersburg, PA 17061 | 2007-05-24 |
| 1134249352 | Judith Gordon | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-03-30 |
| 1225198146 | Judith Loene Gordon | Family Medicine | 1920 John Wesley Ave, College Park, GA 30337 | 2006-12-11 |
| Street Address |
3288 E PINE AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851413314 | Inroads Inc. | Community/Behavioral Health | 3288 E Pine Ave, Meridian, ID 83642 | 2007-04-04 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1376170126 | Inroads Inc. | Case Management | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-03-23 |
| 1962902361 | Kam Nelson-knisley | Social Worker | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2018-02-13 |
| 1619488566 | Bree Danielle Wells | Counselor | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2017-10-18 |
| 1578925228 | Lori Ann Shaw | Social Worker | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2016-03-22 |
| 1376902817 | John Clifton Critchfield | Counselor | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2016-02-11 |
| 1598120917 | Journey Mental Health, Inc. | Community/Behavioral Health | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2015-12-30 |
| 1154722536 | Cameron Cox | Social Worker | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2014-09-04 |
| 1477953743 | Deborah Ryman | Social Worker | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2014-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1982260329 | Maxwell Aristaeus Dusky | Counselor | 3017 S Meridian Rd, Meridian, ID 83642-7962 | 2019-05-10 |
| 1376915298 | Donna Eldridge | Counselor | 3507 Causeyville Rd, Meridian, MS 39301-9174 | 2015-10-30 |
| 1245601616 | Lindsay Kyle | Counselor | 1316 Ridgeview Cir, Meridian, MS 39305-2743 | 2015-10-12 |
| 1952790297 | Wendy Fisher | Counselor | 744 W Kingsley St, Meridian, ID 83646-6222 | 2015-01-09 |
| 1326443938 | Ophelia Mayfield | Counselor | 1923 23rd Ave., Meridian, MS 39301 | 2014-10-24 |
| 1114355757 | Gail Ingra Peterson | Counselor | 3043 S Meridian Rd, Suite 125, Meridian, ID 83642-7922 | 2013-10-16 |
| 1558795773 | Jami Clevenger | Counselor | 943 W Overland Rd Ste 157, Meridian, ID 83642-6541 | 2013-08-23 |
| 1871927152 | Michele Ann Gallegos | Counselor | 2704 N Caribou Way, Meridian, ID 83646-3475 | 2013-08-22 |
| 1184965741 | Juakita L. Grice | Counselor | 1415 35th Ave, Meridian, MS 39301-3628 | 2013-03-07 |
| Find all providers in MERIDIAN | ||||
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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.