Bobbi Burns Gordon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2387 Issued in MS

Practice address

212 S Whitworth Ave
Brookhaven, MS 39601

Phone

(601) 822-2286

Fax

(601) 822-2296

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ascend Counseling and Consulting Services, LLC

  • Professional Counselor
  • Brookhaven, MS
  • NPI 1245808815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1912531005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3879",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396037879",
            "telephone_number": "601-822-2286",
            "fax_number": "601-822-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S WHITWORTH AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-822-2286",
            "fax_number": "601-822-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Montgomery Rd SW",
            "address_purpose": "LOCATION",
            "city": "Bogue Chitto",
            "state": "MS",
            "postal_code": "396299499",
            "country_code": "US",
            "telephone_number": "601-810-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BOBBI",
        "middle_name": "BURNS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2387",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2387",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caycee Garrett, NP
• Letisha A. Garth-Villes, APRN
• Karla Adams Gerald, FNP
• Giust Chiropractic Center, P.a.
• Mark Steven Giust, D.C.
• Daniel Ben Goza, CRNA
• Mary Elenor Gratwick, DMD
• Leigh Cher Gray, M.D.
• Maranda Jordan Guess, CPNP
• H3 Healthcare, LLC

• Professional Counselor in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.