Active NPI
Gordrell Enterprises LLC
- Community/Behavioral Health Agency
- Columbus, OH
National Provider Identifier
1992324867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Columbus | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Asur Counseling Treatment Centers
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
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- Non-emergency Medical Transport (VAN)
- Columbus, OH
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-
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- Addiction Psychiatry Physician
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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.
-
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- Columbus, OH
- NPI 1720809890
-
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-
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- NPI 1003637174
-
- Behavior Technician
- Columbus, OH
- NPI 1679394738
-
- Behavior Technician
- Columbus, OH
- NPI 1013738186
-
- Clinical Social Worker
- Columbus, OH
- NPI 1437774692
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.