Elizabeth J Gordon
Individual provider Active NPI Mental Health Counselor · Crestone, CO
NPI 1891377941 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1891377941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1008 E Badger Rd
Crestone, CO 81131 - Phone
- (720) 442-1999
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1008 E Badger Rd
Crestone, CO 81131
Mailing address
PO Box 1180
Crestone, CO 81131-1180
Phone (720) 442-1999
Other providers in Crestone, CO
- Alycia Jeanne Chambers
- Community Care Collective
- Michelle Christine Davis
- Debora Ross Therapy
- Dr Debra Irizarry
- Helm Partners Therapy
- Robin Helm
- Debra Anne Irizarry
- Teresa D. Keller
- Life'S Hope Therapeutic Services PLLC
All providers in Crestone, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.