Matthew Lucas Gordon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A01046 Issued in MD

Practice address

711 W 40TH St Ste 206
Baltimore, MD 21211-2108

Phone

(410) 842-6055

NPI assigned

Oct 11, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B'More Mental Health and Wellness, LLC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1487129813
  NPD
• B'More Mental Health and Wellness, LLC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1740177294
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1033939483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 YORK ROAD",
            "address_2": "STUDENT LIFE- SETON 08B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "470-833-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112108",
            "telephone_number": "410-842-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MATTHEW",
        "middle_name": "LUCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "A01046",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "A01046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Gordon, MD
• Lauren A Gordon, M.D.
• Lisa Gordon, L.C.P.C.
• Mark B Gordon, O.D.
• Martha Zoe Gordon, DO
• Michael Gordon, CAC-AD
• Oren Gordon, MD PHD
• Hannah Gordy
• Christian Gore
• James Gore

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.