Active NPI
Gloria J. Gordy, GLORIA GORDY
- Addiction (Substance Use Disorder) Counselor
- Gloucester, VA
National Provider Identifier
1457647174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0024182052
- Practice address
- 9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162 - Phone
- (804) 695-8120
- Fax
- (804) 695-8122
- NPI assigned
- Jun 21, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | 0024182052 | VA | |
| Registered Nurse | 163W00000X | 0001120029 | VA | |
| Clinical Nurse Specialist | 364S00000X | 0024182052 | VA | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 0024182052 | VA | |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | 0024182052 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0024182052 | VA | Primary |
Addresses
Primary practice location
9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Mailing address
113 Ellery St
Yorktown, VA 23692-3194
Phone (757) 375-9026
Other names 1
- Gloria J. Gordy
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001120029 | VA | MD | Registered Nurse |
| 0024182052 | VA | MD | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1457647174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 ELLERY ST",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236923194",
"telephone_number": "757-375-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614162",
"telephone_number": "804-695-8120",
"fax_number": "804-695-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDY",
"first_name": "GLORIA",
"middle_name": "J.",
"credential": "GLORIA GORDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "VA",
"license": "0024182052",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001120029",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "VA",
"license": "0024182052",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0024182052",
"primary": false
},
{
"code": "364SP0810X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": "VA",
"license": "0024182052",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0024182052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "GORDY",
"middle_name": "J.",
"credential": "GLORIA GORDY",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gloucester, VA
- Gloucester Orthopaedic Clinic P C (York River Orthopaedics & Sports Medicine)
- Gloucester Pediatrics, PC
- Gloucester Volunteer Fire and Rescue Squad, Inc.
- Shannon Marie Goldsmith, OTR
- Brandi Dalton Gomez, NP
- John Constantine Gretes, MD
- Katherine C. Haggerty, NP
- Ronald D Haggerty, MD
- Elaine Haislip
- Sara Hammack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.