AMANDA JOY GORDON (NPI# 1376934265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376934265 |
Entity Type | Individual |
Full Name | AMANDA JOY GORDON |
Credential | MA, LPC, CACII |
Practice Address |
10200 W 44th Ave Ste 101 Wheat Ridge CO 80033-2838 |
Practice Telephone | 6178175050 |
Mailing Telephone | 6178175050 |
Enumeration Date | 2015-02-12 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0012236 | CO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568071363 | Amanda Gordon | Counselor | 56 Parmenter Ln, North Attleboro, MA 02760-1309 | 2020-07-28 |
1053968883 | Amanda Gordon | Technician | 322 Anton Ct, Eugene, OR 97402-2410 | 2019-08-26 |
1649749466 | Amanda Gordon | Family Medicine | 598 N Union Ave Ste 350, New Braunfels, TX 78130-4196 | 2018-11-21 |
1518178565 | Amanda Gordon | Physical Therapist | 14606 Rainbow Ave, Cleveland, OH 44111-2221 | 2007-05-24 |
1336765973 | Amanda R Gordon | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, Brooklyn, NY 11201 | 2020-06-19 |
1194367565 | Amanda Gordon | Pharmacist | 2100 N Bechtle Ave, Springfield, OH 45504-1575 | 2019-10-17 |
1043705031 | Amanda Gordon | Nurse Practitioner | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2018-06-22 |
1528569704 | Amanda Jean Gordon | Occupational Therapist | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 | 2018-02-23 |
1780103143 | Amanda B Gordon | Nurse Practitioner | 1718 Catlin Dr, Barnhart, MO 63012-1277 | 2017-09-15 |
1558710467 | Amanda Marie Gordon | Behavioral Analyst | 5595 Equity Ave Ste 400, Reno, NV 89502-2396 | 2016-06-10 |
Street Address |
10200 W 44TH AVE STE 101 |
City | WHEAT RIDGE |
State | CO |
Zip Code | 80033-2838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
Find all providers in zip 80033 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093326852 | Croswaite Counseling, Pllc | Counselor | 10200 W 44th Ave Ste 136, Wheat Ridge, CO 80033-2838 | 2020-08-13 |
1497306658 | Thomas J Pals | Counselor | 4800 Wadsworth Blvd Ste 104, Wheat Ridge, CO 80033-3314 | 2019-09-27 |
1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
1578071585 | Daniel Joseph Penn | Counselor | 6175 W 35th Pl, Wheat Ridge, CO 80033-7410 | 2018-01-12 |
1194241414 | Ashley Biedler | Counselor | 6195 W 38th Ave, Wheat Ridge, CO 80033-5146 | 2017-08-17 |
1275980328 | Uric Cameron Geer | Counselor | 5181 Ward Rd Unit 201, Wheat Ridge, CO 80033-1925 | 2016-05-18 |
1891106449 | Jinna K. Russell, Inc. | Counselor | 4070 Harlan St, Wheat Ridge, CO 80033-5116 | 2014-05-16 |
1518297811 | Genevieve Louann Smith | Counselor | 4800 Wadsworth Blvd, Ste 135, Wheat Ridge, CO 80033-3317 | 2010-01-08 |
1750579728 | Delisa Faith Woodman | Counselor | 3020 Fenton St, Wheat Ridge, CO 80214-8118 | 2007-10-04 |
1891987012 | Kenneth James Pott | Counselor | 12600 W 32nd Ave, Wheat Ridge, CO 80033-5253 | 2007-08-11 |
Find all providers in WHEAT RIDGE |
City | WHEAT RIDGE |
Zip Code | 80033 |
Please comment or provide details below to improve the information on AMANDA JOY 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.