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ANDREW GORDON LPC
NPI 1114008752
Counselor - Mental Health in Midland, MI

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
5816 EASTMAN AVE, MIDLAND, MI 48640(989) 244-1888(989) 321-6544 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew Gordon Lpc NPPES

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

ANDREW GORDON LPC (NPI 1114008752) is an individual mental health provider in Midland, Michigan, licensed in Michigan (6401009563) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saginaw, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114008752
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW GORDONCredential: LPC
Location Address5816 EASTMAN AVEMidland, MI 48640-6792
Mailing Address2589 N 11 Mile RdSanford, MI 48657-9747 · (989) 941-2224
Phone(989) 244-1888
Fax(989) 321-6544
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1114008752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401009563
5816 EASTMAN AVE, Midland, MI 48640
Open in Google Maps ↗

Secondary Practice Location 1

Location 16030 Bay RdSaginaw, MI 48604-8703 · Phone (989) 244-1888 · Fax (989) 321-6544

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Gordon Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214385459
PECOS Enrollment IDI20231128002195
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renewal Christian Counseling Inc
101 mi
Mental Health (Including Community Mental Health Center)
100 NB GRATIOT AVE
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1548211535 (586) 783-2950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY S ENGBLADE LLPC
Counselor (Mental Health)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
ISAAC DIETERMAN BA, DP-C
Counselor (Addiction (Substance Use Disorder))
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 774-1224
MR. JUSTIN D OH-LEE LMSW
Social Worker (Clinical)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
TIFFANY SCHALL LPC
Counselor (Mental Health)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
DENISE HOFFMAN LMSW
Social Worker (Clinical)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
ANGEL EABY LLPC
Counselor (Mental Health)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
HANNAH DOAN LLPC
Counselor (Mental Health)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888
LAURIE K DOERNER LPC
Counselor (Mental Health)
5816 EASTMAN AVE
MIDLAND, MI 48640
Midland County (989) 244-1888

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 Andrew Gordon's NPI number?

The NPI number for Andrew Gordon is 1114008752. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Andrew Gordon located?

Andrew Gordon practices at 5816 Eastman Ave, Midland, MI 48640. The listed phone number is (989) 244-1888.

What is Andrew Gordon's specialty?

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

Is Andrew Gordon enrolled in Medicare?

Yes. Andrew Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gordon reassigns Medicare benefits to Renewal Christian Counseling Inc (Mount Clemens, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Gordon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 2 other insurers list Andrew Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Gordon was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.