Patricia Ann Gordon, LACS, LAC, CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

809 Issued in SC

Practice address

361 E Washington St
Walterboro, SC 29488-3919

Phone

(843) 584-7393

Fax

(843) 977-1711

NPI assigned

Nov 22, 2018

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tricia Gordon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Skye Medical Holdings, LLC

  • Methadone Clinic
  • Clinton, SC
  • NPI 1821561788
  NPD
• True Beginnings LLC

  • Mental Health Counselor
  • Walterboro, SC
  • NPI 1407406556
  NPD
• BHG - Behavioral Health Group

  • Health Maintenance Organization
  • Spartanburg, SC
  • NPI 1023569340
  NPD (past)
• BHG Xxxviii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spartanburg, SC
  • NPI 1972959344
  NPD (past)
• Metro Treatment of South Carolina

  dba Greenville Metro Treatment Center

  • Methadone Clinic
  • Greenville, SC
  • NPI 1558576389
  NPD (past)
• Metro Treatment of South Carolina

  dba Columbia Metro Treatment Center

  • Methadone Clinic
  • West Columbia, SC
  • NPI 1902012255
  NPD (past)

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1922577758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SPRINGLAKES ESTATES DR",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E WASHINGTON ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883919",
            "telephone_number": "843-584-7393",
            "fax_number": "843-977-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LACS, LAC, CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "809",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "GORDON",
            "credential": "LACS, LAC, CS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.