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AMANDA JANE GORDON
NPI 1417666256
Peer Specialist in Richmond, MI

Active since November 21, 2022
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Jane Gordon NPPES

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

AMANDA JANE GORDON (NPI 1417666256) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1417666256
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA JANE GORDON
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address400 Stoddard RdRichmond, MI 48062-2505
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1417666256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 STODDARD RD, Richmond, MI 48062
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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.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOMINIC DEWAYNE SMITH
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

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 Amanda Gordon's NPI number?

The NPI number for Amanda Gordon is 1417666256. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Amanda Gordon located?

Amanda Gordon practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Amanda Gordon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Gordon was last updated on November 21, 2022. 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.