Cynthia E Gordon-Wellington, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P111137 Issued in NY

Practice address

148 Madison Ave
New York, NY 10016-6700

Phone

(917) 216-7787

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gordon-Wellington Psychotherapy for Mental Health Counseling, PLLC

  dba Wellington Psychotherapy

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1730999426
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1275207524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 FERNSIDE PL",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912700",
            "telephone_number": "646-785-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166700",
            "telephone_number": "917-216-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-WELLINGTON",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P111137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia@privatetherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "148 Madison Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eliza Meryl Gordon-Lipkin, M.D.
• Eloise Miekle Gordon-Mallett, RN, FNP
• Mellissa Gordon-Nelson, MS
• Keisha Marie Gordon-Richards
• Gordon-Wellington Psychotherapy for Mental Health Counseling, PLLC (Wellington Psychotherapy)
• Andira Gordon-Williams
• Alexander Gordon, DDS
• Alexandra Lowry Gordon
• Alexandra Rose Gordon, MD
• Alexis Gordon

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.