Judith L Gordon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178 Issued in ID

Practice address

3288 E Pine Ave
Meridian, ID 83642-5922

Phone

(208) 888-8887

Fax

(208) 658-0153

NPI assigned

Apr 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1700220233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11898 W GOLDENROD AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132439",
            "telephone_number": "208-658-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425922",
            "telephone_number": "208-888-8887",
            "fax_number": "208-658-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "178",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "ID",
            "license": "178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeusha Coleen Goodwin, CPM, LM
• Thomas Earl Goodwin, MD
• Huiyong Chong Goodyear-Fassihi, PMHNP-BC
• Skyler Willow Goonan
• Hailey M Gordon, PA-C
• Jessica Gorringe
• Mathew J Gossard, LMSW
• Lana Goulart, RBT
• William Dale Goulart
• Linda J Gould, NP

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.