Active NPI
Teandra Vashon Gordon, LMFT
- Marriage & Family Therapist
- Houston, TX
National Provider Identifier
1003186164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201263
- Practice address
- 1415 California St
Houston, TX 77006-2602 - Phone
- (832) 548-5000
- NPI assigned
- Jan 6, 2012
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201263 | TX | Primary |
| Professional Counselor | 101YP2500X | 201263 | TX |
Addresses
Primary practice location
1415 California St
Houston, TX 77006-2602
Mailing address
PO Box 66308
Houston, TX 77266
Phone (832) 548-5076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080462703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201263 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003186164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77266",
"telephone_number": "832-548-5076",
"fax_number": "713-523-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALIFORNIA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770062602",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "TEANDRA",
"middle_name": "VASHON",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201263",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "201263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080462703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.