Jenna Gordon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

93039 Issued in TX

Practice address

4320 Windsor Centre TRL Ste 500
Flower Mound, TX 75028-1888

Phone

(682) 516-1999

NPI assigned

Jun 14, 2021

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pineapple Counseling

  • Counselor
  • Flower Mound, TX
  • NPI 1073353397
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1366010563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WINDSOR CENTRE TRL STE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281888",
            "telephone_number": "682-516-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINDSOR CENTRE TRL STE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281888",
            "telephone_number": "682-516-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Maple Ave W Ste 330",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804301",
            "country_code": "US",
            "telephone_number": "571-533-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93039",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-21-155377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahvannah Gonzalez, APRN
• Dahlia Good, NP
• Anna Marie Goode
• Bridget Shayann Goodwin
• Michael Anthony Goodwin, DDS
• Kori Gorman
• Karma Marie Gottlieb
• Katina Delette Grabert, LCDC
• Grace Elizabeth Brown, MD PA
• Robert Blake Graham, D.C.

• Professional Counselor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.