Active NPI
Robert James Gordon, PH.D.
- Marriage & Family Therapist
- Creve Coeur, MO
National Provider Identifier
1891972675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1023 Executive Parkway Dr Ste 10
Creve Coeur, MO 63141-6323 - Phone
- (314) 469-5522
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MO | Primary |
Addresses
Primary practice location
1023 Executive Parkway Dr Ste 10
Creve Coeur, MO 63141-6323
Mailing address
1023 Executive Parkway Dr Ste 10
Creve Coeur, MO 63141-6323
Phone (314) 469-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Christian Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Saint Louis, MO
- NPI 1477728400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1891972675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 EXECUTIVE PARKWAY DR STE 10",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416323",
"telephone_number": "314-469-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 EXECUTIVE PARKWAY DR STE 10",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416323",
"telephone_number": "314-469-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.