Jamila Enirisha Gordon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1073 Oak St SE
Salem, OR 97301-4018

Phone

(503) 585-4949

NPI assigned

Jun 1, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Marion County Health Department

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1932301173
  NPD (past)

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1407014863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 KURTH ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022723",
            "telephone_number": "503-581-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 OAK ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014018",
            "telephone_number": "503-585-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMILA",
        "middle_name": "ENIRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Lynn Goolsby, RN
• Raylene Lorraine Gordin, M.D.
• Gordon a Miller MD PC
• Gordon a Miller, MD
• Corrie Lynn Gordon, LCSW
• Jerome S Gordon, PH.D.
• Matthew S Gordon, M.D.
• Emilia Maria Gorecki
• Battina May Gorin, LCSW
• Cory Gorman

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.