Individual provider Active NPI

Rachel Diane Gordon, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1518472349
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60747138 Issued in WA
Practice address
13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124
Phone
(206) 672-8075
NPI assigned
Dec 1, 2017
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60747138 WA Primary

Addresses

Primary practice location

13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124

Mailing address

13741 15TH Ave NE Apt C6
Seattle, WA 98125-3124
Phone (206) 548-3058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1518472349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13741 15TH AVE NE APT C6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253124",
            "telephone_number": "206-548-3058",
            "fax_number": "206-752-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13741 15TH AVE NE APT C6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253124",
            "telephone_number": "206-672-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60747138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.