Mary Gordon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2112 F St NW Ste 102
Washington, DC 20037-2722

Phone

(202) 349-3236

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• The Foundation for Contemporary Mental Health

  • Public Health or Welfare Agency
  • Washington, DC
  • NPI 1316148554
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1184201212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372722",
            "telephone_number": "202-349-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372722",
            "telephone_number": "202-349-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Gordon
• Jahvon Gordon
• James Samuel Gordon, M.D.
• Jasmin Gordon
• Laura Gordon, RD, LD
• Megan Erin Gordon, LGSW
• Michelle Gordon
• Monique Gordon
• Natisha Gordon
• Neva Gordon

• Addiction (Substance Use Disorder) Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Addiction (Substance Use Disorder) Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.