Active NPI
Elizabeth Gordon, M. ED, LMHC
- Mental Health Counselor
- Northampton, MA
National Provider Identifier
1417206178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 78 Pomeroy Ter
Northampton, MA 01060-3378 - Phone
- (413) 584-1310
- Fax
- (413) 586-1490
- NPI assigned
- Sep 10, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
78 Pomeroy Ter
Northampton, MA 01060-3378
Mailing address
70 N Silver LN
Sunderland, MA 01375-9566
Phone (413) 512-9350
Other practice location 1
139 Shelburne Rd
Greenfield, MA 01301-2115
Phone (413) 772-6422
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
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutchins Programs for Children and Families, Inc. | Past | Accepting new patients | |
| Cutchins Program for Children and Families, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Northampton, MA
- NPI 1831526771
-
- Adolescent and Children Mental Health Clinic/Center
- Northampton, MA
- NPI 1790795052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1417206178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N SILVER LN",
"city": "SUNDERLAND",
"state": "MA",
"postal_code": "013759566",
"telephone_number": "413-512-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 POMEROY TER",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603378",
"telephone_number": "413-584-1310",
"fax_number": "413-586-1490"
}
],
"practiceLocations": [
{
"address_1": "139 Shelburne Rd",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "MA",
"postal_code": "013012115",
"country_code": "US",
"telephone_number": "413-772-6422",
"fax_number": "413-773-5860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M. ED, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.