JUSTIN GORDON (NPI# 1861766586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861766586 |
| Entity Type | Individual |
| Full Name | JUSTIN GORDON |
| Credential | LMFT |
| Practice Address |
640 E 700 S Suite 201 St George UT 84770-4023 |
| Mailing Address |
336w 3162 S Washington UT 84780-8352 |
| Practice Telephone | 4352153184 |
| Practice Fax Number | 4356528334 |
| Mailing Telephone | 4352153184 |
| Mailing Fax Number | 4356528334 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 8017789-3904 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225353568 | Justin Stanley Gordon | Dermatology | 450 Broadway St Fl 4, Redwood City, CA 94063-3132 | 2010-03-30 |
| 1366459711 | Justin R Gordon | Optometrist | 3143 W Devon Ave, Chicago, IL 60659-1424 | 2006-08-01 |
| 1265961205 | Justin Gordon | Social Worker | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 | 2017-06-05 |
| 1205248200 | Justin W Gordon | Specialist/Technologist | 3500 Sw 119th St, Oklahoma City, OK 73170-4500 | 2014-05-24 |
| 1205162674 | Justin E Gordon | Physical Therapist | 1075 Mason Ave, Daytona Beach, FL 32117-4611 | 2009-10-20 |
| Street Address |
640 E 700 S SUITE 201 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908322 | Jacqueline L Murray | Physician Assistant | 640 E 700 S, #105, St George, UT 84770-4023 | 2006-01-27 |
| 1023480449 | Heather Rose Bandle | Nurse Practitioner | 640 E 700 S, Suite 105, St George, UT 84770-4023 | 2015-10-25 |
| 1407239080 | Southern Utah Neurology, Inc. | Psychiatry & Neurology | 640 E 700 S, #204, St George, UT 84770-5732 | 2015-07-01 |
| 1275916777 | Andrus Prosthodontics Lc | Prosthetic/Orthotic Supplier | 640 E 700 S, Suite 104, St George, UT 84770-4023 | 2015-07-01 |
| 1851788590 | Heath Gabriel Dehart | Physician Assistant | 640 E 700 S, Suite 105, St George, UT 84770-4023 | 2015-04-21 |
| 1568701456 | Life Balance Clinic | Chiropractor | 640 E 700 S, Ste 203, St George, UT 84770-4023 | 2013-02-12 |
| 1164690467 | Robin Berger Md PC | Dermatology | 640 E 700 S, Suite 1, St George, UT 84770-4023 | 2008-02-20 |
| 1356551444 | Richard J. Kunde | Dentist | 640 E 700 S, Building 10-d, St George, UT 84770-4023 | 2007-05-23 |
| 1891907655 | Rodney L Andrus | Dentist | 640 E 700 S, Ste 104, St George, UT 84770-4023 | 2007-05-04 |
| 1619192861 | Advanced Pulmonary, Sleep Disorder and Internal Medicine,llc | Clinic/Center | 640 E 700 S, Suite 105, St George, UT 84770-4023 | 2007-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291854 | Anne Schwab | Marriage & Family Therapist | 166 N 300 W Ste 3, St George, UT 84770-2770 | 2019-08-20 |
| 1912491671 | Melyssa Myers | Marriage & Family Therapist | 321 N Mall Dr Ste M202, St George, UT 84790-7316 | 2018-06-17 |
| 1891107736 | Thane Palmer | Marriage & Family Therapist | 1310 Casper Cir, St George, UT 84790-7708 | 2014-05-27 |
| 1952739401 | Alpine Consulting Group, Inc | Marriage & Family Therapist | 321 N Mall Dr Ste O101, St George, UT 84790-7313 | 2013-10-19 |
| 1255682241 | Jill Call | Marriage & Family Therapist | 393 E. Riverside Drive Suite 3a, St George, UT 84790 | 2012-10-01 |
| 1063727311 | Matthew Melvin Eschler | Marriage & Family Therapist | 1240 E 100 S # 23-201, St George, UT 84790-3001 | 2010-08-11 |
| 1225260979 | Jonette Reber | Marriage & Family Therapist | 2337 Stone Cliff Rd, St George, UT 84790-6120 | 2009-08-13 |
| 1467663302 | Todd Davis Graves | Marriage & Family Therapist | 393 E Riverside Dr Ste 3a, St George, UT 84790-7127 | 2007-05-24 |
| 1225240336 | Lynne Clark-brunson | Marriage & Family Therapist | 750 Ridgeview Dr, Ste 103, St George, UT 84770-2665 | 2007-05-03 |
| 1518592401 | Brittani Furnival | Marriage & Family Therapist | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2020-03-11 |
| Find all providers in ST GEORGE | ||||
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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.