Susan R Gordon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9093 Issued in ID

Practice address

2023 Sandpoint West Dr
Sandpoint, ID 83864-7304

Phone

(208) 265-5412

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Human Connection Inc

  dba Sandpoint Neurotherapy

  • Mental Health Counselor
  • Sandpoint, ID
  • NPI 1407203623
  Medicare reassignment NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1922727254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 SANDPOINT WEST DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647304",
            "telephone_number": "208-265-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 SANDPOINT WEST DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647304",
            "telephone_number": "208-265-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Arnold Glidden, DDS
• Emerson G Godbolt, D.M.D.
• Arthur S Goldblum, LAC DIPLAC
• Stacey A Good, D.O.
• Mari Goodpaster, LMT
• Erin Kathleen Gray, LPC
• Greenway Corporation (Pend Oreille Chiropractic)
• Geoffrey David Greenway, DC
• Kelly Greenway, FNTP, MRWP
• Perry E Grey Harper, PSY.D.

• Mental Health Counselor in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.