Organization Active NPI

Gordrell Enterprises LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1992324867
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GORDRELL ENTERPRISES LLC
Practice address
5150 E Main St Ste 104
Columbus, OH 43213-2441
Phone
(614) 946-5504
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Tomika Gordon
Title
Ceo
Phone
(614) 946-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5150 E Main St Ste 104
Columbus, OH 43213-2441

Mailing address

5150 E Main St Ste 104
Columbus, OH 43213-2441
Phone (614) 946-5504

Other names 1

  • ASUR Counseling & Treatment Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbus Direct

National Provider Directory

National Provider Directory
Tax ID family
Asur Counseling Treatment Centers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2244 S Hamilton Rd
Ste 103B
Columbus, OH 43232

5150 E Main St
Ste 104
Columbus, OH 43213
Phone (614) 604-7284

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1992324867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-946-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-946-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDRELL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TOMIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-946-5504"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "endpointDescription": "2244 Hamilton rd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2244 S Hamilton Rd Ste 103B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432324390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ASUR Counseling & Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASUR Counseling & Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.