Individual provider Active NPI

Joann Gordon, LCPC

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1619047040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
348LCPC Issued in MT
Practice address
1643 Lewis Ave
Suite #3 Office 6
Billings, MT 59102-4151
Phone
(406) 256-3577
Fax
(406) 294-0967
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 348LCPC MT Primary

Addresses

Primary practice location

1643 Lewis Ave
Suite #3 Office 6
Billings, MT 59102-4151

Mailing address

1643 Lewis Ave
Suite #3 Office 6
Billings, MT 59102-4151
Phone (406) 256-3577

Other identifiers 1

IdentifierTypeStateIssuer
0256763MedicaidMT

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
348LCPCMTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619047040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LEWIS AVE",
            "address_2": "SUITE #3 OFFICE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024151",
            "telephone_number": "406-256-3577",
            "fax_number": "406-294-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LEWIS AVE",
            "address_2": "SUITE #3 OFFICE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024151",
            "telephone_number": "406-256-3577",
            "fax_number": "406-294-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOANN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "348LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256763",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.