Active NPI
Gorder Consulting, PLLC
- Professional Counselor
- Bottineau, ND
National Provider Identifier
1225448798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 569121506190
- Legal business name
- GORDER CONSULTING, PLLC
- Practice address
- 104 11TH St W Ste 4
Bottineau, ND 58318-2005 - Phone
- (701) 201-0076
- NPI assigned
- May 5, 2014
- Last updated
- May 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Corey J Gorder, LPCC
- Title
- Owner
- Phone
- (701) 201-0076
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 569121506190 | ND | Primary |
Addresses
Primary practice location
104 11TH St W Ste 4
Bottineau, ND 58318-2005
Mailing address
104 11TH St W Ste 4
Bottineau, ND 58318-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588800882 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
104 11th St W
Ste 4
Bottineau, ND 58318
Phone (701) 201-0076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Bottineau, ND
- NPI 1588800882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1225448798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 11TH ST W STE 4",
"city": "BOTTINEAU",
"state": "ND",
"postal_code": "583182005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 11TH ST W STE 4",
"city": "BOTTINEAU",
"state": "ND",
"postal_code": "583182005",
"telephone_number": "701-201-0076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDER CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "GORDER",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-201-0076",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "569121506190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588800882",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bottineau, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.