AMY ELIZABETH GORDON M.A. L.M.H.C. C.D.P.
NPI 1447574439
Counselor - Mental Health in Kamuela, HI

Active since March 18, 2010PECOS Enrolled
66-1694 LANIKEPU PL, KAMUELA, HI 96743(808) 936-3733 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Elizabeth Gordon M.a. L.m.h.c. C.d.p. NPPES

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

AMY ELIZABETH GORDON M.A. L.M.H.C. C.D.P. (NPI 1447574439) is an individual mental health provider in Kamuela, Hawaii, licensed in Hawaii (1173) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1447574439
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY ELIZABETH GORDONCredential: M.A. L.M.H.C. C.D.P.
Location Address66-1694 LANIKEPU PLKamuela, HI 96743-7312
Mailing Address66-1694 Lanikepu PlKamuela, HI 96743-7312 · (808) 936-3733
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 18, 2010
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
NPI 1447574439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in HI · 1173
66-1694 LANIKEPU PL, Kamuela, HI 96743

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Elizabeth Gordon M.a. L.m.h.c. C.d.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799261988
PECOS Enrollment IDI20260107003247
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 Amy Gordon's NPI number?

The NPI number for Amy Gordon is 1447574439. It was assigned to this individual provider in the NPPES registry on March 18, 2010.

Where is Amy Gordon located?

Amy Gordon practices at 66-1694 Lanikepu Pl, Kamuela, HI 96743. The listed phone number is (808) 936-3733.

What is Amy Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Gordon was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.