MRS. CARYN MARIE GORDON (NPI# 1942218284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942218284 |
| Entity Type | Individual |
| Full Name | MRS. CARYN MARIE GORDON |
| Credential | LPC, LMFT, NCC |
| Practice Address |
5500 N Western Ave Suite 124 Oklahoma City OK 73118-4019 |
| Mailing Address |
1901 Woodland Rd Edmond OK 73013-6650 |
| Practice Telephone | 4056159376 |
| Practice Fax Number | 4053302654 |
| Mailing Telephone | 4056159376 |
| Mailing Fax Number | 4053302654 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
1125 | OK | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 249 | OK | Behavioral Health & Social Service Providers |
| Street Address |
5500 N WESTERN AVE SUITE 124 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779617 | Orthopaedic Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 5500 N Western Ave, Suite 276, Oklahoma City, OK 73118-4019 | 2005-12-05 |
| 1841616828 | Total Wellness | Family Medicine | 5500 N Western Ave, Suite 212, Oklahoma City, OK 73118-4019 | 2014-03-13 |
| 1265789002 | Raphael Adebusoye | Student in an Organized Health Care Education/Training Program | 5500 N Western Ave, Oklahoma City, OK 73118-4019 | 2012-08-10 |
| 1316224645 | Mallary Ruth Malwick | Nurse Practitioner | 5500 N Western Ave, Suite 212, Oklahoma City, OK 73118-4019 | 2011-11-15 |
| 1417277690 | Sharon B. Varnum, Lcsw, LLC | Social Worker | 5500 N Western Ave, Oklahoma City, OK 73118-4019 | 2010-06-10 |
| 1063641280 | Total Resource Group | Home Health | 5500 N Western Ave, Suite 212-a, Oklahoma City, OK 73118-4019 | 2009-07-09 |
| 1609833300 | Sharon B. Varnum | Counselor | 5500 N Western Ave, #157, Oklahoma City, OK 73118-4019 | 2006-04-27 |
| 1083679658 | Kelli Brooke Marshall | Speech-Language Pathologist | 5500 N Western Ave, Suite 153, Oklahoma City, OK 73118-4019 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1902451040 | Latonyia Yvette Rogers | Counselor | 4001 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2683 | 2019-08-06 |
| 1679139182 | Teresa Ann Larkin | Counselor | 1916 Nw 17th St, Oklahoma City, OK 73106-1804 | 2019-05-10 |
| 1326511767 | Andrea Burton | Counselor | 2724 Plymouth Ln, Oklahoma City, OK 73120-3016 | 2019-01-08 |
| 1659840064 | It Starts With You, Lpc Pllc | Counselor | 200 N Harvey Ave Apt 906, Oklahoma City, OK 73102-4023 | 2018-11-14 |
| 1164939765 | Personal Revolutions Behavioral Health Services, LLC | Counselor | 6801 S Western Ave Ste 105, Oklahoma City, OK 73139-1816 | 2018-01-04 |
| 1285143370 | Elizabeth M. Cocke, LLC | Counselor | 1826 Westminster Pl, Oklahoma City, OK 73120-4702 | 2017-09-21 |
| 1003331075 | Oden Counseling, Pllc | Counselor | 3033 Nw 63rd St Ste 151e, Oklahoma City, OK 73116-3634 | 2017-08-10 |
| 1982127395 | Brook Beavers | Counselor | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2017-07-18 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
Please comment or provide details below to improve the information on MRS. CARYN MARIE GORDON.
| 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.