MS. DEIDRE MICHELLE GORDON (NPI# 1073753349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073753349 |
| Entity Type | Individual |
| Full Name | MS. DEIDRE MICHELLE GORDON |
| Credential | LMHC |
| Practice Address |
3841b Sandstone Pl Se Albuquerque NM 87116-3015 |
| Practice Telephone | 5057027803 |
| Mailing Telephone | 5052930115 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
T-0120411 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301140 | Deidre Allison Gordon | Licensed Practical Nurse | 5905 Carpenter Rd, Apt 1, Zachary, LA 70791-4061 | 2015-07-20 |
| 1467895532 | Deidre Gordon | Counselor | 126 Front St # A, Santa Cruz, CA 95060-4402 | 2013-04-09 |
| 1477859973 | Deidre D Gordon | Case Manager/Care Coordinator | 327 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-01-31 |
| Street Address |
3841B SANDSTONE PL SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87116-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881176725 | Cassandra Marie Mendoza | Student in an Organized Health Care Education/Training Program | 1551 Castlepl Se, B, Albuquerque, NM 87116 | 2018-09-06 |
| 1093932386 | Christi King-oliver | Speech-Language Pathologist | Bldg 25000 Kafb East, Wherry Es, Albuquerque, NM 87116 | 2007-04-19 |
| 1700349834 | Heather Marie Pink | Nurse Practitioner | 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 | 2019-04-06 |
| 1679612535 | Michael Kenney | Speech-Language Pathologist | 21001 Wyoming Blvd Se # Kafbe, Sandia Base Es, Albuquerque, NM 87116-1151 | 2007-02-06 |
| 1912050170 | Marcia Scott | Occupational Therapist | 21001 Wyoming Blvd Se, Sandia Base Es, Albuquerque, NM 87116-1151 | 2007-01-19 |
| 1407488653 | Nakayla Chan | Student in an Organized Health Care Education/Training Program | 8709 Autumn Sage Ct Se, Albuquerque, NM 87116-1157 | 2020-02-05 |
| 1083802136 | Renee Thornton-roop | Social Worker | 955a Mountain Laurel Cir Se, Albuquerque, NM 87116-1252 | 2007-10-12 |
| 1972939585 | Eugene Navarro Tabita | Military Health Care Provider | 4050a Greenhouse Pl Se, Albuquerque, NM 87116-3008 | 2013-09-16 |
| 1770050734 | Constance Leah Mann | Day Training/Habilitation Specialist | 4101 Mercury Cir Se, Albuquerque, NM 87116-3009 | 2018-10-29 |
| 1538595814 | Brittany Cataldo | Technician, Other | 709a Silverberry Cir Se, Albuquerque, NM 87116-3108 | 2013-09-18 |
| Find all providers in zip 87116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87116 |
Please comment or provide details below to improve the information on MS. DEIDRE MICHELLE GORDON.
| 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.