Gordonia Cundiff, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13422 Issued in MA

Practice address

2 Dever St
Dorchester, MA 02122-1841

Phone

(617) 652-4556

NPI assigned

Jun 1, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• No Stones Thrown Counseling Services Inc.

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1528766177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1982196341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 AUSTIN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293519",
            "telephone_number": "617-652-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEVER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221841",
            "telephone_number": "617-652-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021343000",
            "country_code": "US",
            "telephone_number": "617-782-4068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "GORDONIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL  HEALTH",
            "identifier": "920550590",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Wayne Crum, MD
• Daphne Cruz-Baez
• Carmen M Cruz-Mercer, LICSW
• Rochelee Cruz, RN
• Celia Cumberbatch, MSW
• Margaret Curran
• Meghan Curran, NP
• Cushing Manor
• CVS Pharmacy Inc
• CVS Pharmacy Inc

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.