DR. KRISTIN DEWAILA GORDON DBH, LSSYB, RMHCI
NPI 1033952288
Counselor - Mental Health in Leesburg, FL

Q: What is Kristin Gordon's NPI number?

The NPI number for Kristin Gordon is 1033952288. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Kristin Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Gordon was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2024

32428 QUIET HARBOR AVE UNIT 203, LEESBURG, FL 34788(850) 346-6377 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Kristin Dewaila Gordon Dbh, Lssyb, Rmhci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTIN DEWAILA GORDON DBH, LSSYB, RMHCI (NPI 1033952288) is an individual mental health provider in Leesburg, Florida, licensed in Florida (IMH25966) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1033952288

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. KRISTIN DEWAILA GORDONCredential: DBH, LSSYB, RMHCI

Location Address32428 QUIET HARBOR AVE UNIT 203Leesburg, FL 34788-8726

Mailing Address32428 Quiet Harbor Ave Unit 203Leesburg, FL 34788-8726 · (850) 346-6377

Phone(850) 346-6377

Sole ProprietorYes

Enumeration DateJune 17, 2024

NPPES CertifiedJune 15, 2024

✔ NPI 1033952288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH25966

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License IMH25966 (FL)

32428 QUIET HARBOR AVE UNIT 203, Leesburg, FL 34788

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Gordon's NPI number?

The NPI number for Kristin Gordon is 1033952288. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Kristin Gordon located?

Kristin Gordon practices at 32428 Quiet Harbor Ave Unit 203, Leesburg, FL 34788. The listed phone number is (850) 346-6377.

What is Kristin Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kristin Gordon was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.