GORDON COUNSELING SERVICES LLC (NPI# 1881138733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881138733 |
Entity Type | Organization |
Organization Name | GORDON COUNSELING SERVICES LLC |
Other Organization Name | ODYSSEY COUNSELING |
Practice Address |
15 E 5th St Mountain Home AR 72653-3809 |
Mailing Address |
Po Box 2563 Mountain Home AR 72654-2563 |
Practice Telephone | 8704252030 |
Mailing Telephone | 7144694601 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Authorized Official Name | CHRISTOPHER GORDON (OWNER/PROFESSIONAL COUNSELOR) |
Authorized Official Telephone | 7144694601 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | P1505049 | AR | Agencies |
Other Name | Type Code |
---|---|
Odyssey Counseling | Doing Business As Name - Organization |
Street Address |
15 E 5TH ST |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255414595 | Sandra Kaye Reese | Social Worker | 15 E 5th St, Mountain Home, AR 72653-3809 | 2006-10-23 |
1144630203 | Traci R Garringer, Inc | Case Management | 15 E 5th St, Mountain Home, AR 72653-3809 | 2014-04-29 |
1821138314 | Melinda R. Fulton | Social Worker | 15 E 5th St, Mountain Home, AR 72653-3809 | 2007-02-07 |
1447399878 | Traci Renee Garringer | Counselor | 15 E 5th St, Mountain Home, AR 72653-3809 | 2007-02-05 |
1659422160 | Walter Mckay | Counselor | 15 E 5th St, Mountain Home, AR 72653-3809 | 2007-01-13 |
1033280391 | Deanna Kay Howarth-reynolds | Marriage & Family Therapist | 15 E 5th St, Mountain Home, AR 72653-3809 | 2006-11-10 |
1306916036 | Kathleen F Bauer | Counselor | 15 E 5th St, Mountain Home, AR 72653-4415 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
Find all providers in zip 72653 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487283917 | Emma Orthel Therapy, Pllc | Community/Behavioral Health | 210 N 3rd E, Mountain Home, ID 83647-2733 | 2020-04-06 |
1407168370 | Alternative Opportunities | Community/Behavioral Health | 315 West 6th Street, Mountain Home, AR 72653-3506 | 2010-07-08 |
1457597999 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2617 Highway 5 N, Mountain Home, AR 72653 | 2009-01-06 |
1740329143 | Creating Options LLC | Community/Behavioral Health | 2390 American Legion Blvd, Suite 2, Mountain Home, ID 83647-3109 | 2007-02-05 |
1760867592 | Inspiring Change, Inc | Community/Behavioral Health | 140 E 2nd N, Mountain Home, ID 83647-2711 | 2015-07-22 |
1164822870 | Alternative Oppurtunities | Community/Behavioral Health | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2014-08-29 |
1407283690 | Sufficiency Advocate, LLC | Community/Behavioral Health | 235 N 3rd E, Mountain Home, ID 83647-2734 | 2013-10-02 |
1528319704 | Sequel Tsi of Idaho | Community/Behavioral Health | 2850 Industrial Way, Mountain Home, ID 83647-3960 | 2012-09-27 |
1083850762 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-12-30 |
1215186226 | Creating Options LLC | Community/Behavioral Health | 2390 American Legion Blvd, Mountain Home, ID 83647-3109 | 2008-09-15 |
Find all providers in MOUNTAIN HOME |
City | MOUNTAIN HOME |
Zip Code | 72653 |
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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.