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: October 18, 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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
99-080 KAUHALE ST STE C20
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Amy Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gordon reassigns Medicare benefits to Imua Health Group, LLC (Aiea, HI). 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 Amy Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Gordon accept?

Health plans from HMSA list Amy 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 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 11 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.