Mims Gordon, M.ED – Mental Health Counselor

Key facts

NPI: 1144265398
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 298 (TN)
Practice address: 89 Reservoir
Norris, TN 37828-0567
Phone: (865) 548-7474
NPI assigned: Jun 19, 2006
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Phoenix Counseling Services, Inc. Mental Health Counselor · Clinton, TN · NPI 1396883955

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Education

State licenses

License	State	Type	Specialty
298	TN	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Phoenix Counseling Services, Inc.	Mental Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	298	TN	Yes
Professional Counselor	101YP2500X	298	TN

Addresses

Primary practice location

89 Reservoir
Norris, TN 37828-0567

Mailing address

PO Box 567
Norris, TN 37828-0567
Phone (865) 548-7474

Other identifiers

Identifier	Type	State	Issuer
4026195	Other	TN	BC/BS

Other names

Miss Miriam Gordon Other name

Other providers in Norris, TN

All providers in Norris, TN · Mental Health Counselor in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.