Active NPI
Mia Gordon
- Counselor
- Pittsfield, MA
National Provider Identifier
1285053033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261 - Phone
- (413) 629-1251
- Fax
- (413) 448-2198
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261
Mailing address
359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261
Phone (413) 629-1251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
333 E St
Pittsfield, MA 01201-5369
Phone (413) 499-0412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brien Center for Mental Health and Substance Abuse Services Inc. | Current | Accepting new patients |
Locations
333 East St
Fl 4
Pittsfield, MA 01201
Phone (413) 395-2008
333 East St
Pittsfield, MA 01201
Phone (413) 629-1125
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsfield, MA
- NPI 1518984251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1285053033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 FENN ST",
"address_2": "ADMINISTRATIVE OFFICES",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015261",
"telephone_number": "413-629-1251",
"fax_number": "413-448-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 FENN ST",
"address_2": "ADMINISTRATIVE OFFICES",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015261",
"telephone_number": "413-629-1251",
"fax_number": "413-448-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.