Active NPI
Gina Marie Gordon, PH.D, LPC, NCC
- Professional Counselor
- Beaver, PA
National Provider Identifier
1376029330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006571
- Practice address
- 500 Market St Ste 204B
Beaver, PA 15009-2998 - Phone
- (724) 728-6670
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006571 | PA | Primary |
Addresses
Primary practice location
500 Market St Ste 204B
Beaver, PA 15009-2998
Mailing address
202 W Northview Ave
New Castle, PA 16105-1921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006571 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1376029330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W NORTHVIEW AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARKET ST STE 204B",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092998",
"telephone_number": "724-728-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.