Active NPI
Lynn Euvoynne Gordon, MS, LPC, NCC
- Professional Counselor
- Sheridan, WY
National Provider Identifier
1063544302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 110
- Practice address
- 40 S Main St
Sheridan, WY 82801-4222 - Phone
- (307) 672-6789
- Fax
- (307) 672-6789
- NPI assigned
- Mar 12, 2007
- Last updated
- May 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 110 | WY | Primary |
| Professional Counselor | 101YP2500X | 5374018-6004 | UT |
Addresses
Primary practice location
40 S Main St
Sheridan, WY 82801-4222
Mailing address
PO Box 6484
Sheridan, WY 82801-1884
Phone (307) 672-6789
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5374018-6004 | UT | MD | Professional Counselor |
| 110 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Personal Counseling Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Sheridan, WY
- NPI 1912251489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338076800000",
"number": "1063544302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6484",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828011884",
"telephone_number": "307-672-6789",
"fax_number": "307-672-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S MAIN ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014222",
"telephone_number": "307-672-6789",
"fax_number": "307-672-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LYNN",
"middle_name": "EUVOYNNE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2012-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "110",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "5374018-6004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.