1. Home
  2. Directory
  3. Connecticut
  4. Windsor
  5. Counselor
  6. NPI Profile

MS. KIMBERLY T GORDON LPC
NPI 1396266904
Counselor - Professional in Windsor, CT

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
27 VIOLET ST, WINDSOR, CT 06095(959) 231-6693 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Nov 14, 2023, Jul 5, 2017 (3 updates tracked since 2017).

About Ms. Kimberly T Gordon Lpc NPPES

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

MS. KIMBERLY T GORDON LPC (NPI 1396266904) is an individual professional provider in Windsor, Connecticut, licensed in Connecticut (6428) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396266904
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY T GORDONCredential: LPC
Location Address27 VIOLET STWindsor, CT 06095-4308
Mailing AddressPo Box 161Windsor, CT 06095-0161 · (959) 231-6693
Phone(959) 231-6693
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 5, 2017
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1396266904 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 CT · 6428
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
27 VIOLET ST, Windsor, CT 06095
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly T 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 ID547735680
PECOS Enrollment IDI20260407001490
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.

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 Kimberly Gordon's NPI number?

The NPI number for Kimberly Gordon is 1396266904. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Kimberly Gordon located?

Kimberly Gordon practices at 27 Violet St, Windsor, CT 06095. The listed phone number is (959) 231-6693.

What is Kimberly Gordon's specialty?

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

Is Kimberly Gordon enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Gordon accept?

Health plans from Providence Health Plan list Kimberly 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 Kimberly Gordon was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.