Deidre Gordon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

126 Front St # a
Santa Cruz, CA 95060-4402

Phone

(831) 427-9343

NPI assigned

Apr 9, 2013

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1467895532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FRONT ST.",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604402",
            "telephone_number": "831-427-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FRONT ST # A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604402",
            "telephone_number": "831-427-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEIDRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Goodwin, D.C.,L.AC
• John Goodwin
• Jeffrey Goodyear
• Kerena Lynn Gordhamer
• C N Gordon
• Jessica Gore, PTA
• Julie Gorshe, PA-C
• Jennifer Ann Gosk, LMFT
• Danielle Goss
• Tiffany Rebecca Gottdiner

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.