Deidre Michelle Gordon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-0120411 Issued in NM

Practice address

3841B Sandstone PL SE
Albuquerque, NM 87116-3015

Phone

(505) 702-7803

NPI assigned

Feb 26, 2009

Last updated

Apr 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1073753349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841B SANDSTONE PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163015",
            "telephone_number": "505-293-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841B SANDSTONE PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163015",
            "telephone_number": "505-702-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEIDRE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0120411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Gordon
• Amy Elisabeth Gordon, LPCC
• Angelia Denise Gordon
• Bosha A Gordon, APRN
• Brittany Dawn Gordon, LAMFT, LMHC
• Emily Bonnie Gordon
• Jeri Lynn Gordon
• Jovanna Gordon
• Pasley Gordon, MD
• Sheryl Lynn Gordon, MSN, RN

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.