Justin Gordon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8017789-3904 Issued in UT

Practice address

640 E 700 S
Suite 201
St George, UT 84770-4023

Phone

(435) 215-3184

Fax

(435) 652-8334

NPI assigned

Feb 27, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Family & Relationship Wellness Therapy

  dba Justin Gordon, LMFT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St George, UT
  • NPI 1235656729
  NPD (past) Authorized official
• Hope & Healing LLC

  • Point of Service
  • Washington, UT
  • NPI 1447601117
  NPD (past) Authorized official
• Shinedling and Shinedling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St George, UT
  • NPI 1609106426
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1861766586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336W 3162 S",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808352",
            "telephone_number": "435-215-3184",
            "fax_number": "435-652-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-215-3184",
            "fax_number": "435-652-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JUSTIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8017789-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Goodman, D.O.
• Lisa Goodman
• Destiny Rose Goodrich
• Paul W Goodrich, PA
• Melinda L Goodwin, FNP-C
• Tyler J Gordon, CMHC
• Holly A Gore, RN
• Jessica Gorgoglione, APN-BC
• William Todd Gorishek, RPH
• Anika Gorze

• Marriage & Family Therapist in St George, UT
• Providers in St George, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.