Linda Kamstra Gordon, M.A., L.P., L.A.D.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3677 Issued in MN

Practice address

4651 Nicols Rd
Suite 102a
Eagan, MN 55122-3336

Phone

(651) 688-3168

Fax

(651) 688-3583

NPI assigned

Nov 18, 2005

Last updated

Jul 8, 2007By 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

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Qol Guidance PC

  • Counseling Psychologist
  • Eagan, MN
  • NPI 1629159678
  NPD (past) Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679555122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD",
            "address_2": "SUITE 102A",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "651-688-3168",
            "fax_number": "651-688-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD",
            "address_2": "SUITE 102A",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "651-688-3168",
            "fax_number": "651-688-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LINDA",
        "middle_name": "KAMSTRA",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P., L.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Goedken, CNP OR PMHNP-BC
• Vanessa Alexandra Gomez
• Joseph Michael Gonzalez-Campoy, M.D., PH.D.
• Eli Justin Goodman
• April A. Gordon, NP
• Erica Gores, LAMFT
• Stephen T Gott, MD
• Rosie Marie Gourdine, PHLEBOTOMIST
• Julienna Danielle Graf
• Rebecca Graffdahl

• Psychologist in Eagan, MN
• Providers in Eagan, MN by specialty
• Psychologist in Minnesota

• 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.