Active NPIIndividual providerSole proprietor

Ms. Kimberly Gordon, LMHC

Counselor, Mental Health in Warren, Connecticut

NPI Number1124627666
Practice location
24 Sheehan RD, Warren, CT 06777-1008
Fax
—
Last updated
October 24, 2020

Kimberly Gordon is a Counselor, Mental Health based in Warren, CT. Kimberly Gordon practices in Warren, CT and has the professional credentials of LMHC. The NPI Number for Kimberly Gordon is 1124627666 and holds a License No. 008255 (NY). The current practice location address for Kimberly Gordon is 24 Sheehan RD, Warren, CT 06777-1008 and can be reached out via phone at 914-523-4924.

Provider Profile Details

NPI Number
1124627666
Provider Name
Kimberly Gordon
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
24 Sheehan RD, Warren, CT 06777-1008
Phone Number
914-523-4924
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2020
Last Update Date
October 24, 2020
Certification Date
October 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Sheehan RD
Warren, CT 06777-1008
City
Warren
Zip
06777-1008
Phone Number
914-523-4924
Warren, CT 06777Get directions →

Provider Business Mailing Address Details

Address
24 Sheehan RD
Warren, CT 06777-1008
City
Warren
State
CT
Zip
06777-1008
Phone Number
914-424-0229

License Information

License Number
008255
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ms. Kimberly Gordon, LMHC?

The NPI number of Ms. Kimberly Gordon, LMHC is 1124627666. It was assigned on October 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimberly Gordon, LMHC?

Ms. Kimberly Gordon, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 008255.

Where does Ms. Kimberly Gordon, LMHC practice?

The practice location is 24 Sheehan RD, Warren, CT 06777-1008. The office can be reached at 914-523-4924 (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 1124627666 directly on the NPPES registry website.

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