MR. CRAIG A GORDON II (NPI# 1366004053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366004053 |
| Entity Type | Individual |
| Full Name | MR. CRAIG A GORDON II |
| Credential | LPC, NCC |
| Practice Address |
2001 Jefferson Davis Hwy Ste 800 Arlington VA 22202-3603 |
| Mailing Address |
315 N Quebec St Apt 1 Arlington VA 22203-3415 |
| Practice Telephone | 7047715679 |
| Mailing Telephone | 7047715679 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701007484 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6563 Edsall Rd, Springfield, VA 221514414 | 7033540000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295085397 | Craig Dennis Gordon | Dentist | 5305 Collingwood Cir, Calabasas, CA 91302-3138 | 2012-09-16 |
| 1821079013 | Craig S Gordon | Specialist | 21316 Provincial Blvd, Katy, TX 77450-7580 | 2005-11-07 |
| 1659368058 | Craig J Gordon | Internal Medicine | 30160 Orchard Lake Rd Ste 100, Farmington Hills, MI 48334-2254 | 2005-09-30 |
| 1215934971 | Craig David Gordon | Internal Medicine | 333 South Hope Street, Floor 31, Capital Group, La, CA 90071 | 2005-07-07 |
| 1508834763 | Craig E. Gordon | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2006-03-14 |
| Street Address |
2001 JEFFERSON DAVIS HWY STE 800 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22202-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352343 | Verity Brown | Social Worker | 2001 Jefferson Davis Hwy Ste 800, Arlington, VA 22202-3603 | 2018-07-16 |
| 1427603414 | Dawn Houk | Counselor | 2001 Jefferson Davis Hwy Ste 800, Arlington, VA 22202-3603 | 2019-08-06 |
| 1699250969 | Nishthaya Soukhanouvong | Psychologist | 2001 Jefferson Davis Hwy Ste 800, Arlington, VA 22202-3603 | 2018-10-02 |
| 1790260651 | Kristen Mahoney | Counselor | 2001 Jefferson Davis Hwy Ste 800, Arlington, VA 22202-3603 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291474 | Gail Devonna Johnson | Home Health Aide | 2611 S Clark St Suite 700, Arlington, VA 22202 | 2020-10-06 |
| 1194331835 | Keylah Cherri Adams | Home Health Aide | 2611 South Clark Street Suite 700, Arlington, VA 22202 | 2020-09-18 |
| 1902412927 | Briggitte Marie Bradley | Home Health Aide | 2611 S Clark St. Suite 700, Arlington, VA 22202 | 2020-09-16 |
| 1730793027 | Regina Ray | Home Health Aide | 2611 South Clark Street, St.700, Arlington, VA 22202 | 2020-09-03 |
| 1255944328 | Elizabeth Ann Mayes Gross | Home Health Aide | 2611 S. Clark Street, 700, Arlington, VA 22202 | 2020-08-28 |
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1194349399 | Solange Abel Anagho | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-03 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| Find all providers in zip 22202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629407 | Rebecca Leigh Staines | Counselor | 4620 Lee Hwy Ste 217, Arlington, VA 22207-3400 | 2020-11-04 |
| 1235748138 | Justin Geoffrey Ellis | Counselor | 6003 Brook Forest Dr, Arlington, TX 76018-5320 | 2020-07-27 |
| 1992313340 | Shivam Kamlesh Gosai | Counselor | 670r Massachusetts Av/, Whittemore Robbins House, Arlington, MA 02476 | 2020-07-21 |
| 1053935395 | Amy Seiders | Counselor | 2314 Stone Bridge Dr, Arlington, TX 76006-2773 | 2020-06-02 |
| 1821612383 | Julianna Marie Twigg | Counselor | 2001 Richmond Hwy # 800, Arlington, VA 22202-3603 | 2020-06-01 |
| 1932733516 | Postpartum Wellness Foundation | Counselor | 2611 Richmond Hwy Ste 600, Arlington, VA 22202-4046 | 2020-02-24 |
| 1285264986 | Kate E Salmon | Counselor | 2001 Richmond Hwy, Arlington, VA 22202-3603 | 2020-01-22 |
| 1396387098 | Maria Ramos | Counselor | 22 Mill St Ste 306, Arlington, MA 02476-4744 | 2019-10-14 |
| 1326689985 | Centro De Consejeria Familiar, LLC | Counselor | 5840 W Interstate 20 Ste 140, Arlington, TX 76017-2809 | 2019-10-04 |
| 1487206470 | Lashaunn Bold | Counselor | 1615 W Abram St Ste H, Arlington, TX 76013-1788 | 2019-07-10 |
| Find all providers in ARLINGTON | ||||
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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.