Jacqueline Carol Gordon, M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 42439 Issued in CA

Practice address

43537 Ridge Park Dr
Temecula, CA 92590-3615

Phone

(951) 609-4123

NPI assigned

Apr 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295954972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22637 CASCADE DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877943",
            "telephone_number": "951-609-4123",
            "fax_number": "951-244-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43537 RIDGE PARK DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903615",
            "telephone_number": "951-609-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JACQUELINE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "MFC42439",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Goodsir
• Maggie Goodson
• Nancy Goodwin, LMFT
• Alicia Diane Goossens
• Melody Kianna Gorczyca, LMFT
• Lakia Gorgy
• Carrie Gorham
• Tina Marie Gottlieb, D.C.
• Logan William Gould
• Karina Gounder

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.