SARA GORDON (NPI# 1962692954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962692954 |
| Entity Type | Individual |
| Full Name | SARA GORDON |
| Practice Address |
41945 Big Bear Bovd. Suite222 Big Bear Lake CA 92315 |
| Mailing Address |
Po Box 2471 Big Bear Lake CA 92315 |
| Practice Telephone | 9098665070 |
| Practice Fax Number | 9098783228 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972907087 | Sara Elizabeth Gordon | Physical Therapy Assistant | 8255 Trevi Ln, Clay, NY 13041-6920 | 2014-10-17 |
| 1578781951 | Sara Nan Gordon | Nurse Practitioner | 1212 7th St Se, Cedar Rapids, IA 52401-2602 | 2007-04-23 |
| 1871516088 | Sara C Gordon | Dentist | 801 S Paulina Street, Dept of Oral Medicine Uic College of Dentistry Mc 838, Chicago, IL 60612-7213 | 2006-07-26 |
| 1821482837 | Sara Gordon | Pharmacist | 10701 East Blvd, Cleveland, OH 44106 | 2015-03-27 |
| 1518263011 | Sara Kendall Gordon | Acupuncturist | 55 Professional Center Pkwy, F, San Rafael, CA 94903-2755 | 2011-01-31 |
| 1902046808 | Sara M Gordon | Optometrist | 272 Cottage St, Sanford, ME 04073-1815 | 2009-03-05 |
| Street Address |
41945 BIG BEAR BOVD. SUITE222 |
| City | BIG BEAR LAKE |
| State | CA |
| Zip Code | 92315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912711 | Kimberly Hurtarte | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suite 221, 222, 223, Big Bear Lake, CA 92315 | 2018-08-15 |
| 1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
| 1871001453 | Tyne Kay Henry | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suites 221, 222,223, Big Bear Lake, CA 92315 | 2018-01-17 |
| 1396255212 | Tonya R. Schour | Marriage & Family Therapist | 41943 Big Bear Blvd, Big Bear Lake, CA 92315 | 2017-10-05 |
| 1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
| 1568827459 | Robert Miko | Acupuncturist | 42184 Moonridge Rd #4, Big Bear Lake, CA 92315 | 2015-12-21 |
| 1710359856 | Katheryn Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315 | 2015-10-28 |
| 1437556362 | Deanna Marina Almaguer Flores | Counselor | 41945 Big Bear Blvd. Suit #221 #222, Big Bear Lake, CA 92315 | 2014-11-20 |
| 1417372186 | Kelli Gora | Nurse Practitioner | 41870 Garstin Rd., Big Bear Lake, CA 92315 | 2014-03-04 |
| 1770922817 | Atomic Shrink Psychology, Inc | Psychologist | 40585 Big Bear Blvd, Suite 2, Big Bear Lake, CA 92315 | 2013-06-21 |
| Find all providers in zip 92315 | ||||
| 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 |
|---|---|---|---|---|
| 1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
| 1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
| 1831407055 | Gregorio Liebano Rivera | Counselor | 41945 Big Bear Blvd Suite 200, Big Bear Lake, CA 92315 | 2010-09-22 |
| 1588970149 | Christina Paulette Nash | Counselor | 45945 Big Bear Blvd, Suite 200, Big Bear Lake, CA 92315 | 2010-08-20 |
| 1649441023 | Edward Phillip Rowe | Counselor | 41945 Big Bear Blvd. Suite 200, Big Bear Lake, CA 92315 | 2008-03-13 |
| 1366659708 | Bobbye Klempin | Counselor | 41945 Big Bera Blvd Suite 222, Big Bear Lake, CA 92315 | 2007-05-16 |
| 1073726055 | Charise Taylor | Counselor | 41945 Big Bear Blvd Suiet 200, Big Bear Lake, CA 92315 | 2007-05-07 |
| 1376173112 | Kaitlin Rose Duskin | Counselor | 41945 Big Bear Blvd, Suite 222, Big Bear Lake, CA 92315 | 2020-01-21 |
| 1144862434 | Luz M Tuchan | Counselor | 41945 Big Bear Blvd, Big Bear Lake, CA 92315-2030 | 2019-10-08 |
| 1508411703 | Lydia Marie Quick | Counselor | 41945 Big Bear Blvd, Suite 221, 222, 223, Big Bear Lake, CA 92315-1927 | 2019-08-05 |
| Find all providers in BIG BEAR LAKE | ||||
| City | BIG BEAR LAKE |
| Zip Code | 92315 |
Please comment or provide details below to improve the information on SARA 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.