MR. SCOTT JASON GORDON (NPI# 1588765002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588765002 |
| Entity Type | Individual |
| Full Name | MR. SCOTT JASON GORDON |
| Credential | M.ED., LPC |
| Practice Address |
174 Blue Grass Ct Angier NC 27501-6861 |
| Practice Telephone | 9196396603 |
| Practice Fax Number | 9196622372 |
| Mailing Telephone | 9196396603 |
| Mailing Fax Number | 9196622372 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3370 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6102316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497024475 | Scott Michael Gordon | Dentist | 1238 N Main Ave, Scranton, PA 18508-2130 | 2011-12-21 |
| 1316233992 | Scott Robert Gordon | Spec/Tech, Pathology | 330 Merlot Dr # 41, Prosser, WA 99350-9551 | 2011-06-22 |
| 1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
| 1306003058 | Scott S Gordon | Physician Assistant | 700 West Broadway, Fritch, TX 79036-1570 | 2008-05-20 |
| 1821038159 | Scott Gordon | Psychiatry & Neurology | 200 S Ritchie Ave, Ravenswood, WV 26164-1721 | 2006-06-07 |
| 1083612071 | Scott Thomas Gordon | Dentist | 3905 Rr 620 N, Austin, TX 78734-2120 | 2005-07-13 |
| 1487003646 | Scott Morris Gordon | Hearing Instrument Specialist | 6091 Linglestown Rd, Harrisburg, PA 17112-1208 | 2016-06-08 |
| 1649679259 | Scott Gordon | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2014-08-19 |
| 1487080685 | Scott Gordon | Case Manager/Care Coordinator | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2013-09-19 |
| 1730514423 | Scott David Gordon | Internal Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901 | 2013-09-12 |
| Street Address |
174 BLUE GRASS CT |
| City | ANGIER |
| State | NC |
| Zip Code | 27501-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991004 | Amelia Ann Weaver | Technician | 2622 Oak Grove Ch. Rd Amelia Ann Weaver, Angier, NC 27501 | 2019-09-16 |
| 1477115061 | Meena Park Lee | Dentist | 15 Rawls Church Rd, Angier, NC 27501 | 2019-07-03 |
| 1598118465 | Nancy Harte | Counselor | 728 N. Raleigh Street, Suite C, Angier, NC 27501 | 2016-07-15 |
| 1780987321 | Phlebotomy Training Institute & Resource | Technician, Pathology | 120 N. Broad St. East Unit A-1, Angier, NC 27501 | 2010-12-20 |
| 1568785194 | United Family Care Inc. | Custodial Care Facility | 10183 Highway 210 North, Angier, NC 27501 | 2010-03-10 |
| 1689854812 | Valley Radiology At Angier LLC | Radiology | 169 Rawls Rd., Angier, NC 27501 | 2007-11-05 |
| 1689865958 | United Family Network At Willow Springs | Residential Treatment Facility, Emotionally Disturbed Children | 1259 Ridge Road, Antier, NC 27501 | 2007-08-05 |
| 1245376714 | Primrose Villa | Assisted Living Facility | 431 Junny Road, Angier, NC 27501 | 2007-01-30 |
| 1508917592 | Lane and Associates IIi, Dds Pa | Dentist | 15 Rawls Road, Suite 200 Box 160, Angier, NC 27501 | 2007-01-16 |
| 1407903743 | Amber Renn | Physician Assistant | 185 Rawls Road, Angier, NC 27501 | 2007-01-05 |
| Find all providers in zip 27501 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407391337 | Paige Simon | Counselor | 45 Comm Park Ln, Angier, NC 27501-5490 | 2017-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.