Gordon Legacy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GORDON LEGACY LLC

Practice address

2996 Summit Springs Dr
Columbus, OH 43207-3498

Phone

(614) 594-9027

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Lady-Dreama Noir, LISW-S, LICDCNPI 1952841850

Title

Social Worker

Phone

(614) 600-6309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lady-Dreama Noir, LISW-S, LICDC

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1952841850
  NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1194325142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 SUMMIT SPRINGS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432073498",
            "telephone_number": "614-594-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 SUMMIT SPRINGS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432073498",
            "telephone_number": "614-594-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "NOIR",
        "authorized_official_first_name": "LADY-DREAMA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "614-600-6309",
        "authorized_official_credential": "LISW-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelima Gorantla, M.D.
• Khalil Gorden-Stafford, QMHS
• Kari Lynn Gorder, M.D.
• Deborah A Gordish, MD
• Lisa Gordish, PSY.D.
• Amanda E Gordon, M.D.
• Amy Gordon, LPCC
• Amy L Gordon, LPN
• Angel Chalece Gordon, LPN
• Courtney Gordon

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.