Johnnika N Gordon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7925 Issued in LA

Practice address

701 Loyola Ave.
New Orleans, LA 70117

Phone

(504) 558-9595

Fax

(504) 558-9599

NPI assigned

May 24, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1548798259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LASALLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LOYOLA AVE.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70117",
            "telephone_number": "504-558-9595",
            "fax_number": "504-558-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 LaSalle St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701155709",
            "country_code": "US",
            "telephone_number": "504-518-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOHNNIKA",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558649087",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delisa Gordon
• Gabrielle Gordon, RPH
• Jacqueline Gordon, BS
• Jaranea Gordon
• John M Gordon, M.D.
• Kamri Gordon
• Odile Gordon
• James Aaron Gore, DO
• Samuel Payton Gore, M.D.
• Nicholas Parent Gorham, M.D.

• Professional Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.