Peter Gordon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC200001409 Issued in DC

Practice address

3945 Connecticut Ave NW Apt 309
Washington, DC 20008-3483

Phone

(301) 356-4078

NPI assigned

Mar 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Thrive Neuropsych and Therapy Services LLC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1053284778

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1629779335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 CONNECTICUT AVE NW APT 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083483",
            "telephone_number": "301-356-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 CONNECTICUT AVE NW APT 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083483",
            "telephone_number": "301-356-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC200001409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Gordon
• Natisha Gordon
• Neva Gordon
• Olivia French Gordon
• Oren Gordon, MD
• Raquel W Gordon, PH.D.
• Robert Stevenson Gordon III, DO
• Samuel Antonio Gordon, PH.D.
• Sanlare Gordon, D.O.
• Sara Nicole Powers Gordon, NP

• All providers in Washington, DC
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.