Active NPI
Isabel Marlee Gordon
- Art Therapist
- Columbia, MD
National Provider Identifier
1619751989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 10440 Shaker Dr Ste 207
Columbia, MD 21046-2339 - Phone
- (443) 328-4946
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
10440 Shaker Dr Ste 207
Columbia, MD 21046-2339
Mailing address
10440 Shaker Dr Ste 207
Columbia, MD 21046-2339
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Sykesville, MD
- NPI 1720536220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1619751989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10440 SHAKER DR STE 207",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 SHAKER DR STE 207",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462339",
"telephone_number": "443-328-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ISABEL",
"middle_name": "MARLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.