Amy Elizabeth Gordon, M.A. L.M.H.C. C.D.P.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1173 Issued in HI

Practice address

66-1694 Lanikepu PL
Kamuela, HI 96743-7312

Phone

(808) 936-3733

NPI assigned

Mar 18, 2010

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

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Imua Health Group, LLC

  • Psychologist
  • Aiea, HI
  • NPI 1023648995

  Mental Health

  Medicare reassignment NPD
• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416

  Mental Health (Including Community Mental Health Center)

  NPD (past)
• Port Gamble S'Klallam Tribe

  • Federally Qualified Health Center (FQHC)
  • Kingston, WA
  • NPI 1760428650

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1447574439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-1694 LANIKEPU PL",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437312",
            "telephone_number": "808-936-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-1694 LANIKEPU PL",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437312",
            "telephone_number": "808-936-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "M.A. L.M.H.C. C.D.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherylin Garvey, M.D.
• Katherine Gentile
• Tate Griffin Gentile, D.C.
• Jon D Gerdsen, M.D.
• Yvonne Peggy Giron, LMT
• Melissa S Gosland, MD
• Monica Gotreau, M,A., BCBA
• Joan M Greco, DDS
• Lois L. W. Gregg, MD
• Peter Edward Gregg, MD

• Mental Health Counselor in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.