Tyler J Gordon, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

109774493-6004 Issued in UT

Practice address

750 Ridgeview Dr Ste 104
St George, UT 84770-2696

Phone

(801) 822-2407

NPI assigned

Oct 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Compass Counseling LLC

  • Mental Health Counselor
  • St George, UT
  • NPI 1427778422
  NPD Authorized official
• Reflections Outpatient

  • Substance Abuse Rehabilitation Facility
  • Lindon, UT
  • NPI 1538672712
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1104392042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 RIDGEVIEW DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702696",
            "telephone_number": "801-822-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RIDGEVIEW DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702696",
            "telephone_number": "801-822-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10977493-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "109774493-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR BUSINESS",
            "identifier": "82-1067031",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Goodman
• Destiny Rose Goodrich
• Paul W Goodrich, PA
• Melinda L Goodwin, FNP-C
• Justin Gordon, LMFT
• Holly A Gore, RN
• Jessica Gorgoglione, APN-BC
• William Todd Gorishek, RPH
• Anika Gorze
• Sydney Gossett

• Mental Health Counselor in St George, UT
• Providers in St George, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.