Active NPIIndividual providerSole proprietor

Jason Gordon, LPC

Counselor, Professional in Piscataway, New Jersey

NPI Number1114339553
Practice location
179 Davis Ave, Piscataway, NJ 08854-2467
Fax
—
Last updated
May 20, 2014

Jason Gordon is a Counselor, Professional based in Piscataway, NJ. Jason Gordon practices in Piscataway, NJ and has the professional credentials of LPC. The NPI Number for Jason Gordon is 1114339553 and holds a License No. 37PC00488100 (NJ). The current practice location address for Jason Gordon is 179 Davis Ave, Piscataway, NJ 08854-2467 and can be reached out via phone at 908-451-2550.

Provider Profile Details

NPI Number
1114339553
Provider Name
Jason Gordon
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
179 Davis Ave, Piscataway, NJ 08854-2467
Phone Number
908-451-2550
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2014
Last Update Date
May 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Davis Ave
Piscataway, NJ 08854-2467
Zip
08854-2467
Phone Number
908-451-2550
Piscataway, NJ 08854Get directions →

Provider Business Mailing Address Details

Address
179 Davis Ave
Piscataway, NJ 08854-2467
City
Piscataway
State
NJ
Zip
08854-2467

License Information

License Number
37PC00488100
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jason Gordon, LPC?

The NPI number of Jason Gordon, LPC is 1114339553. It was assigned on May 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Jason Gordon, LPC?

Jason Gordon, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00488100.

Where does Jason Gordon, LPC practice?

The practice location is 179 Davis Ave, Piscataway, NJ 08854-2467. The office can be reached at 908-451-2550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114339553 directly on the NPPES registry website.

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