MR. JAMES BLAKELY GORDON (NPI# 1669439352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669439352 |
| Entity Type | Individual |
| Full Name | MR. JAMES BLAKELY GORDON |
| Credential | MRC |
| Practice Address |
1821 Pickens St Columbia SC 29201-2630 |
| Mailing Address |
1800 Colonial Drive Columbia SC 29203-2219 |
| Practice Telephone | 8039291234 |
| Practice Fax Number | 8039291247 |
| Mailing Telephone | 8038981555 |
| Mailing Fax Number | 8038982194 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
#4691 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1043625312 | James Gordon IIi | Specialist/Technologist | 5312 Webster Rd, Flint, MI 48504-1046 | 2014-06-25 |
| 1295171775 | James William Gordon Jr. | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2013-05-10 |
| 1619253960 | James Micheal Gordon | Licensed Practical Nurse | 33 Oakwood Ave, Miller Place, NY 11764-2320 | 2011-11-01 |
| 1558666560 | James Otis Gordon | Urology | 210 S Mobile St, #23, Fairhope, AL 36532-1365 | 2011-01-22 |
| 1972748549 | James Samuel Gordon | Acupuncturist | 2934 Macomb St Nw, Washington, DC 20008-3315 | 2008-12-10 |
| 1528149820 | James Hardy Gordon | Anesthesiology | 210 Layton Ave, Monroe, LA 71201-8548 | 2006-10-17 |
| 1578652285 | James M Gordon | Ophthalmology | 880 Kempsville Rd Ste 2500, Norfolk, VA 23502-3990 | 2006-10-12 |
| 1386650497 | James William Gordon IIi | Dentist | 8960 Fitness Ln, Fishers, IN 46037-8208 | 2006-07-31 |
| 1003833518 | James Gregory Gordon | Dentist | 3635 Old Court Road, Suite 505, Pikesville, MD 21208 | 2006-07-17 |
| Street Address |
1821 PICKENS ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386136687 | Palmetto Mental Health Counseling, LLC | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2018-06-01 |
| 1609380567 | Kelly Wilson Benjamin | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2017-11-29 |
| 1801198072 | Stephanie Bowman Counseling, LLC | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2010-11-22 |
| 1528280435 | Michal Rubin Ph.d. Lpc | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2007-05-02 |
| 1811040777 | Melanie A. Trimble | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2007-01-22 |
| 1609954528 | Michelle D. Trask | Social Worker | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-11-01 |
| 1255380598 | Michal Rubin | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-05-05 |
| 1730137456 | Wendy K Graham | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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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.