Danielle Isabel Gordon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2024-0306 Issued in NM

Practice address

308 N California St
Socorro, NM 87801-4207

Phone

(575) 838-0061

NPI assigned

Jul 2, 2024

Last updated

Jul 2, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Learning Path

  • Community/Behavioral Health Agency
  • Socorro, NM
  • NPI 1427787035

  Mental Health

  NPD
• A-Z Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Rio Rancho, NM
  • NPI 1861772972
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1659117398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "MAGDALENA",
            "state": "NM",
            "postal_code": "878251185",
            "telephone_number": "575-838-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N CALIFORNIA ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014207",
            "telephone_number": "575-838-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DANIELLE",
        "middle_name": "ISABEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Geurts, M.D.
• Goforth Chiropractic, LLC
• Phillip Darin Goforth, D.C.
• Timothy Paul Gonzales, CCSS
• Amy Dominique Gonzalez, DPT
• John William Gordon, LMFT
• Oletha Hope Gould, LPCC
• Mary Elizabeth Green, CCSS
• Jennifer Marie Gregory, CNP
• Kristen Griego, M.A., CCC-SLP

• Mental Health Counselor in Socorro, NM
• Providers in Socorro, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.