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JESSICA ELIZABETH GORDON
NPI 1265994206
Counselor - Professional in Lansing, MI

Active since April 01, 2019PECOS Enrolled
1717 N HIGH ST, LANSING, MI 48906(517) 372-4700 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Mar 17, 2025, Mar 1, 2021 and 1 more (4 updates tracked since 2019).

About Jessica Elizabeth Gordon NPPES

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

JESSICA ELIZABETH GORDON (NPI 1265994206) is an individual professional provider in Lansing, Michigan, licensed in Michigan (6401018026) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265994206
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA ELIZABETH GORDON
Location Address1717 N HIGH STLansing, MI 48906-4597
Mailing Address1717 N High StLansing, MI 48906-4597 · (517) 372-4700
Phone(517) 372-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 1, 2019
Last NPPES UpdateMay 7, 20264 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1265994206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401018026
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1717 N HIGH ST, Lansing, MI 48906
Open in Google Maps ↗

Other Identifiers 1

Medicaid1265994206MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Elizabeth Gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254803240
PECOS Enrollment IDI20260610002325
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 Jessica Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Charities Of Ingham, Eaton & Clinton Counties
Same address
General Practice
1717 N HIGH ST
Lansing, MI 48906
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Cristo Rey Community Center
  • 18 clinicians in this Medicare group
NPI 1407800931 (517) 371-1700

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 20

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

MISS MALARY JEAN THORSBY
Student in an Organized Health Care Education/Training Program
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
MADISON BOYLE
Counselor (Addiction (Substance Use Disorder))
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
ANNA MARIE SEVENSKI
Social Worker
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
MRS. STEPHANIE LYNN SCHULTZ NP
Nurse Practitioner (Family)
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 253-8243
ROBERT POWELL LMSW
Social Worker
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
MR. JALEN SCHAFER
Social Worker
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
ROSA CASTANON
Social Worker
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700
ALEXIS DAUGHERTY
Social Worker (Clinical)
1717 N HIGH ST
LANSING, MI 48906
Ingham County (517) 372-4700

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 Jessica Gordon's NPI number?

The NPI number for Jessica Gordon is 1265994206. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Jessica Gordon located?

Jessica Gordon practices at 1717 N High St, Lansing, MI 48906. The listed phone number is (517) 372-4700.

What is Jessica Gordon's specialty?

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

Is Jessica Gordon enrolled in Medicare?

Yes. Jessica Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gordon reassigns Medicare benefits to Catholic Charities Of Ingham, Eaton & Clinton Counties (Lansing, 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 Jessica Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Gordon was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.