JEFF GORDON MBA
NPI 1093652067
Counselor - Professional in Hyattsville, MD

Active since April 29, 2026
4301 GARDEN CITY DR STE 201, HYATTSVILLE, MD 20785(443) 839-0012 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Professional

About JEFF GORDON

This page provides the complete NPI Profile along with additional information for Jeff Gordon, a provider established in Hyattsville, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1093652067 assigned on April 2026. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated April 2026.

NPI
1093652067 Verify this NPI
Provider Name
JEFF GORDON MBA
Gender
Male
Entity Type
Individual
Location Address
4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785
Location Phone
(443) 839-0012
Mailing Address
4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785
Is Sole Proprietor?
No
Enumeration Date
04-29-2026
Last Update Date
04-29-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License State
MD

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
4301 GARDEN CITY DR STE 201
HYATTSVILLE, MD 20785
Clinic/Center (Mental Health (Including Community Mental Health Center))
4301 GARDEN CITY DR STE 201
HYATTSVILLE, MD 20785
Social Worker (Clinical)
4301 GARDEN CITY DR STE 201
HYATTSVILLE, MD 20785

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093652067, enumerated as an "individual" on April 29, 2026.

The provider is located at 4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785 and the phone number is (443) 839-0012.

Counselor with taxonomy code 101YP2500X and a focus in Professional.