Miles Gordon, MFT-I

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI4409 Issued in NV

Practice address

6730 S Fort Apache Rd
Las Vegas, NV 89148-5396

Phone

(702) 665-5593

NPI assigned

Jul 23, 2024

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

Other names 1

• Miles Gordon Professional name

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1730917501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 RUSSELL CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397010",
            "telephone_number": "970-331-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485396",
            "telephone_number": "702-665-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MILES",
        "credential": "MFT-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILES",
            "last_name": "GORDON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Gordon
• Maleeya Leenae Gordon
• Margaret Mary Gordon, PHARM.D.
• Markesha Gordon
• Melissa Gordon
• Myah Hope Lian Gordon
• Nathaniel Gordon
• Noreen Paz Medrano Gordon
• Roberta Gordon
• Robin Lynne Gordon

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.