Myla D Gordo, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1901700 Issued in OH

Practice address

4629 Aicholtz Rd Ste 2
Cincinnati, OH 45244-1560

Phone

(513) 752-1555

NPI assigned

May 15, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1639735640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ RD STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441560",
            "telephone_number": "513-752-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ RD STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441560",
            "telephone_number": "513-752-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450361770",
            "country_code": "US",
            "telephone_number": "513-409-5050",
            "fax_number": "513-409-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDO",
        "first_name": "MYLA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C.1901700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamiko Goolsby
• Kajol Gopal, MD
• Oksana Gordeyeva, CNP
• Kristina Gordin, MSW, LSW
• Lori B Gordley, DO
• Nathan Earl Gordon Sr.
• Carol Ann Gordon-Shirley, LICDC-CS
• Aireanna Gordon
• Amanda Catherine Gordon, OTR/L
• Annabelle Jane Gordon, MD

• All providers in Cincinnati, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.