MRS. MONYCA LYNN GORDON (NPI# 1023189057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023189057 |
| Entity Type | Individual |
| Full Name | MRS. MONYCA LYNN GORDON |
| Credential | LSW, LICDC |
| Practice Address |
2052 Princeton Rd Transitional Living Hamilton OH 45011-4746 |
| Mailing Address |
2052 Princeton Road Transitional Living Hamilton OH 45011 |
| Practice Telephone | 5136454554 |
| Practice Fax Number | 5138639882 |
| Mailing Telephone | 5136454554 |
| Mailing Fax Number | 5138639882 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
975967 | OH | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
S10292 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2052 PRINCETON RD TRANSITIONAL LIVING |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689631046 | Transitional Living, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2006-04-28 |
| 1114432838 | Amanda Nicole Thrasher | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011 | 2017-12-04 |
| 1417469859 | Kristolyn C Curtis | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-25 |
| 1679084446 | Christopher Lee Zschokke | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-19 |
| 1083125801 | Misty Anna Riley | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-19 |
| 1336650571 | Bruce Harvey II | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-16 |
| 1790296945 | Daphne Rayanne Kimble | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-16 |
| 1588175608 | Brooklynn Glancy | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-16 |
| 1679084875 | Chinesha Jaree Barnett | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-16 |
| 1669983763 | Gretchen N Ebbing | Case Manager/Care Coordinator | 2052 Princeton Rd, Hamilton, OH 45011-4746 | 2017-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833050 | Workit Health Nj LLC | Counselor | 1544 Kuser Rd Ste C9, Hamilton, NJ 08619-3830 | 2019-10-21 |
| 1437701893 | Jamie Lee Marlow | Counselor | 439 S 2nd St, Hamilton, OH 45011-2935 | 2019-07-15 |
| 1306404140 | Gilchrist Adam O'bryan | Counselor | 210 S B St, Hamilton, OH 45013-3310 | 2019-06-05 |
| 1588138168 | Judy Marie Ogle | Counselor | 404 Liberty Ave, Hamilton, OH 45013-3011 | 2019-01-16 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1710479993 | Megan Coleman | Counselor | 249 N Fair Ave, Hamilton, OH 45011-1687 | 2018-06-04 |
| 1740771286 | Rachel Jo Creech | Counselor | 314 S Erie Highway, Hamilton, OH 45013 | 2018-05-21 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1801384466 | Tim D Hardin | Counselor | 2301 Millville Oxford Rd, Hamilton, OH 45013-9145 | 2018-04-28 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| Find all providers in HAMILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.