Peter Michael Gordon, MA - MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC39863 Issued in CA

Practice address

4030 E Broadway
Long Beach, CA 90803-1502

Phone

(562) 826-9009

Fax

(562) 987-3538

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932244662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 E COLORADO ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142606",
            "telephone_number": "562-826-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031502",
            "telephone_number": "562-826-9009",
            "fax_number": "562-987-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA  - MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC39863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Amanda Goodwin
• Grant Michael Goodwin
• Wishanth Rashitha Gooneratne, MBCHB
• Andrea Briget Gordon, L.M.F.T.
• Ian Louis Gordon, MDPHD
• Trayvon Gordon
• Anne Geleen Gordula, PSY.D.
• Kathryn Jean Goria, MFC
• Christine Nicole Gormont, MA, BCBA
• Mariela Rosina Gorosito, PSY.D.

• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.