ATHENA A GORDON M.S.
NPI 1376082685
Counselor in Centralia, IL

Q: What is Athena Gordon's NPI number?

The NPI number for Athena Gordon is 1376082685. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Q: What is Athena Gordon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Athena Gordon was last updated on January 31, 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.

Active since February 20, 2017

904 E. MARTIN LUTHER KING DR, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2023, Feb 20, 2017 (2 updates tracked since 2017).

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About Athena A Gordon M.s. NPPES

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

ATHENA A GORDON M.S. (NPI 1376082685) is an individual counselor in Centralia, Illinois and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1376082685

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameATHENA A GORDONCredential: M.S.

Location Address904 E. MARTIN LUTHER KING DRCentralia, IL 62801

Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801 · (618) 533-1391 · Fax (618) 533-0012

Phone(618) 533-1391

Fax(618) 533-0012

Sole ProprietorNo

Enumeration DateFebruary 20, 2017

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1376082685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

904 E. MARTIN LUTHER KING DR, Centralia, IL 62801

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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 Athena Gordon's NPI number?

The NPI number for Athena Gordon is 1376082685. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Athena Gordon located?

Athena Gordon practices at 904 E. Martin Luther King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Athena Gordon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Athena Gordon was last updated on January 31, 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.