NICOLE GORDON (NPI# 1871144535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871144535 |
| Entity Type | Individual |
| Full Name | NICOLE GORDON |
| Credential | LCSW |
| Practice Address |
7609 W Rovey Ave Glendale AZ 85303-4250 |
| Practice Telephone | 4802956181 |
| Mailing Telephone | 4802956181 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LCSW-17933 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1477192953 | Nicole Denise Gordon | Student in an Organized Health Care Education/Training Program | 26 Bog Hill Rd, Weare, NH 03281-4200 | 2019-12-31 |
| 1609217447 | Nicole Gordon | Pharmacist | 2352 Shire Way, Oakdale, CA 95361-8923 | 2013-07-09 |
| 1013123470 | Nicole Thornton Gordon | Dentist | 691 Alderman Rd, Palm Harbor, FL 34683-2602 | 2007-05-15 |
| 1164636064 | Nicole Marie Gordon | Occupational Therapist | 2611 Guthrie Ave N, Oakdale, MN 55128-3924 | 2007-05-09 |
| 1982686523 | Nicole Michelle Gordon | Internal Medicine | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2005-11-18 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1154834604 | Nicole Gordon | Occupational Therapist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2017-11-07 |
| 1720504376 | Nicole Gordon | Case Manager/Care Coordinator | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2017-08-16 |
| 1285166140 | Nicole Gordon | Student in an Organized Health Care Education/Training Program | 4860 Y St, Ste 1600, Sacramento, CA 95817-2307 | 2017-03-30 |
| Street Address |
7609 W ROVEY AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85303-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
| 1043733280 | Ainsley P. Vergara | Speech-Language Pathologist | 7355 W Orangewood Ave, Glendale, AZ 85303 | 2017-07-19 |
| 1043688492 | Karina Sosa | Specialist/Technologist | 7829 W San Miguel Avenue, Glendale, AZ 85303 | 2015-09-02 |
| 1437546462 | Westwind Dental Glendale, Pllc | Dentist | 6740 W Camelback Road, Glendale, AZ 85303 | 2015-04-16 |
| 1336498906 | Revival Home Care | Assisted Living Facility | 8269 W State Ave, Glendale, AZ 85303 | 2012-08-29 |
| 1700153707 | Habiitation and Independant Living Inc | Nursing Care | 7304 N 82nd Ave, Glendale, AZ 85303 | 2011-11-19 |
| 1225160658 | Kristy Beth Malecki | Speech-Language Pathologist | 7355 W Orangewood, Desert Spirit School, Glendale, AZ 85303 | 2007-03-12 |
| 1104980325 | Sharon Yvonne Thompson | Technician | 7384 W Colter St, Glendale, AZ 85303 | 2006-12-21 |
| 1447772264 | Bob Kabamba | Behavior Technician | 7136 N 73rd Dr, Gendale, AZ 85303 | 2017-07-13 |
| 1427420504 | Quick Med Center LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85303 | 2015-10-28 |
| Find all providers in zip 85303 | ||||
| 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 |
|---|---|---|---|---|
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1407338379 | Henry Marshal Tyler | Counselor | 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 | 2018-09-06 |
| 1346737111 | Janet Ohanian | Counselor | 915 N Glendale Ave, Glendale, CA 91206-2130 | 2018-04-17 |
| 1881193175 | Robin Lynn Puckett | Counselor | 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 | 2018-02-01 |
| 1538667142 | Chelsea Rae Zendarski | Counselor | 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 | 2018-01-29 |
| 1487165031 | Sofia Elvira Philips | Counselor | 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 | 2017-10-21 |
| 1417301086 | Kristi Proch | Counselor | 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 | 2016-04-20 |
| 1831557065 | Arnitta Holliman | Counselor | 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 | 2016-02-02 |
| 1366828279 | Kathryn Atha | Counselor | 6425 W Montego Ln, Glendale, AZ 85306-3145 | 2015-08-03 |
| Find all providers in GLENDALE | ||||
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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.