DR. KENISHA WHEELER GORDON LPC
NPI 1124591573
Counselor - Professional in Jackson, MS

Q: What is Kenisha Gordon's NPI number?

The NPI number for Kenisha Gordon is 1124591573. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Kenisha Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kenisha Gordon was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 09, 2019

787 E NORTHSIDE DR, JACKSON, MS 39206(985) 517-9300 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2019, Jan 9, 2019 (2 updates tracked since 2019).

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About Dr. Kenisha Wheeler Gordon Lpc NPPES

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

DR. KENISHA WHEELER GORDON LPC (NPI 1124591573) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1327) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1124591573

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. KENISHA WHEELER GORDONCredential: LPC

Location Address787 E NORTHSIDE DRJackson, MS 39206-4945

Mailing AddressPo Box 587Clinton, MS 39060-0587

Phone(985) 517-9300

Sole ProprietorYes

Enumeration DateJanuary 9, 2019

Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration

✔ NPI 1124591573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MS · 1327

787 E NORTHSIDE DR, Jackson, MS 39206

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Other Providers at the Same Location NPPES 3

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

MR. JEROME GORDON JR. OTR-L

Occupational Therapist

787 E NORTHSIDE DR
JACKSON, MS 39206

Hinds County (504) 813-4968

DR. MICHAEL ALBERT REED DPC, ED.S,MIT,BS

Psychoanalyst

787 E NORTHSIDE DR
JACKSON, MS 39206

Hinds County (769) 524-5330

BEST OUTCOMES THERAPEUTIC SERVICES, LLC

Clinic/Center (Multi-Specialty)

787 E NORTHSIDE DR
JACKSON, MS 39206

Hinds County (504) 813-4968

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 Kenisha Gordon's NPI number?

The NPI number for Kenisha Gordon is 1124591573. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Kenisha Gordon located?

Kenisha Gordon practices at 787 E Northside Dr, Jackson, MS 39206. The listed phone number is (985) 517-9300.

What is Kenisha Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kenisha Gordon was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.