Nakeisha Ann Gordon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012179 Issued in VA

Practice address

4020 Elmswell Dr
Richmond, VA 23223-4933

Phone

(804) 901-6261

NPI assigned

Feb 3, 2023

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD
• Mosaic Mental Wellness

  dba Mosaic Mental Wellness and Health

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1114588241
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1225734072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ELMSWELL DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234933",
            "telephone_number": "804-901-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 ELMSWELL DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234933",
            "telephone_number": "804-901-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NAKEISHA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Coleman Gordon, DDS
• Kenneth Bryce Gordon, OD
• Laura M Gordon, MD
• Leteisha Mechi'Ell Gordon
• Martin Blackwell Gordon, LCSW
• Robert Harrison Gordon Jr., LCSW, M.ED.
• Rose Cooper Gordon
• Sarah Wilema Gordon, D.O.
• Sheila Marie Gordon, PHARMD
• Tiara Gordon

• Professional Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.