Ms. Kimberly T Gordon, LPC
Counselor, Professional in Windsor, Connecticut
1396266904- Practice location
- 27 Violet St, Windsor, CT 06095-4308
- Phone
- 959-231-6693
- Fax
- —
- Last updated
- June 18, 2024
Kimberly T Gordon is a Counselor, Professional based in Windsor, CT. Kimberly T Gordon practices in Windsor, CT and has the professional credentials of LPC. The NPI Number for Kimberly T Gordon is 1396266904 and holds a License No. 6428 (CT). The current practice location address for Kimberly T Gordon is 27 Violet St, Windsor, CT 06095-4308 and can be reached out via phone at 959-231-6693.
Provider Profile Details
- NPI Number
- 1396266904
- Provider Name
- Kimberly T Gordon
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 27 Violet St, Windsor, CT 06095-4308
- Phone Number
- 959-231-6693
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 5, 2017
- Last Update Date
- June 18, 2024
- Certification Date
- June 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Violet St
Windsor, CT 06095-4308 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-4308
- Phone Number
- 959-231-6693
Provider Business Mailing Address Details
- Address
- Po Box 161
Windsor, CT 06095-0161 - City
- Windsor
- State
- CT
- Zip
- 06095-0161
- Phone Number
- 959-231-6693
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 6428
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 T Gordon, LPC?
The NPI number of Ms. Kimberly T Gordon, LPC is 1396266904. It was assigned on July 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Kimberly T Gordon, LPC?
Ms. Kimberly T Gordon, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 6428.
Where does Ms. Kimberly T Gordon, LPC practice?
The practice location is 27 Violet St, Windsor, CT 06095-4308. The office can be reached at 959-231-6693 (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 1396266904 directly on the NPPES registry website.