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MS. CHARITY RUTH GORDON LPC
NPI 1497420228
Counselor - Mental Health in Starkville, MS

Active since August 13, 2021PECOS EnrolledAccepts Medicare Assignment
100 STARR AVE, STE K, STARKVILLE, MS 39759(662) 340-5947(662) 236-3071 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Sep 27, 2024, Dec 8, 2022 and 1 more (4 updates tracked since 2021).

About Ms. Charity Ruth Gordon Lpc NPPES

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

MS. CHARITY RUTH GORDON LPC (NPI 1497420228) is an individual mental health provider in Starkville, Mississippi, licensed in Mississippi (2875) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497420228
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CHARITY RUTH GORDONCredential: LPC
Location Address100 STARR AVE, STE KStarkville, MS 39759
Mailing Address1016 E Linden AveRichmond Heights, MO 63117-1329 · (662) 825-0949 · Fax (662) 200-5960
Phone(662) 340-5947
Fax(662) 236-3071
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2021
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1497420228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MS · 2875✔ Licensed in MO · 2025045502
100 STARR AVE, Starkville, MS 39759
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 W Port PlzSaint Louis, MO 63146-3011 · Phone (323) 676-1233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Charity Ruth 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 ID4688026537
PECOS Enrollment IDI20240117000728, I20260410002629
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MARIE JOHNSON MS, PLPC
Counselor (Mental Health)
100 STARR AVE
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
CHASITY C POWELL
Counselor
100 STARR AVE
STARKVILLE, MS 39759
Oktibbeha County (662) 268-8059
RACHEL WALDROP D.C.
Chiropractor
100 STARR AVE, L
STARKVILLE, MS 39759
Oktibbeha County (662) 418-2612
CALLAWAY ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
100 STARR AVE, STE D
STARKVILLE, MS 39759
Oktibbeha County (662) 615-4225
ROSALIND ELLIS
Counselor
100 STARR AVE
STARKVILLE, MS 39759
Oktibbeha County (662) 268-8059
CODI LABRINA WALLACE LPC
Counselor (Mental Health)
100 STARR AVE, SUITE K
STARKVILLE, MS 39759
Oktibbeha County (972) 898-2394

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 Charity Gordon's NPI number?

The NPI number for Charity Gordon is 1497420228. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Charity Gordon located?

Charity Gordon practices at 100 Starr Ave Ste K, Starkville, MS 39759. The listed phone number is (662) 340-5947.

What is Charity Gordon's specialty?

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

Is Charity Gordon enrolled in Medicare?

Yes. Charity 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 Charity Gordon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Charity 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 Charity Gordon was last updated on November 5, 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.