TRYCEENA MARIE GORDON (NPI# 1669007985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669007985 |
| Entity Type | Individual |
| Full Name | TRYCEENA MARIE GORDON |
| Practice Address |
81 Lake Ave Rochester NY 14608-1410 |
| Practice Telephone | 5853686901 |
| Practice Fax Number | 5855465806 |
| Mailing Telephone | 5853686901 |
| Mailing Fax Number | 5855465806 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
81 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595854 | Ram Wesley Rapoport | Psychiatry & Neurology | 81 Lake Ave, Rochester, NY 14608-1410 | 2006-08-16 |
| 1144841784 | Rebekah Balch | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-06 |
| 1104447796 | Anni Mcentire Gruttadaro | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-05-05 |
| 1912532136 | Maksim Tsaryk | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-09 |
| 1306471784 | Michelle Janine Squicciarini-beterbiyev | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-03-06 |
| 1750911095 | Amanda Leigh Tuttle | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-24 |
| 1225678402 | Salvatore Mongiovi | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-15 |
| 1346880978 | Abigail L Wood | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-11 |
| 1346889763 | Emily Lehman | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2020-01-02 |
| 1720626740 | Ashley Owens | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
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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.