Danielle S Gordon, MA, NCC, LLPC, SCL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012328 Issued in MI

Practice address

29997 Valley Side Dr
Farmington Hills, MI 48334-2067

Phone

(248) 878-3759

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Danielle S Gordon LLC

  • Professional Counselor
  • Farmington Hills, MI
  • NPI 1649072273
  NPD Authorized official
• Your Village Counseling PLLC

  • Community/Behavioral Health Agency
  • Farmington Hills, MI
  • NPI 1316529316
  NPD Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1598220386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29997 VALLEY SIDE DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342067",
            "telephone_number": "248-878-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29997 VALLEY SIDE DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342067",
            "telephone_number": "248-878-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DANIELLE",
        "middle_name": "S",
        "credential": "MA, NCC, LLPC, SCL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000000755886",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista Amber Gordon
• Catina Gordon
• Cierra Gordon
• Craig J Gordon, D.O.
• Dane'Ika Gordon
• Deshay Gordon
• Jasmine Gordon
• Kimberly Gordon
• Lindsey Arin Gordon, M.A., LLP
• Malik Gordon

• Professional Counselor in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.