1. Home
  2. Directory
  3. Montana
  4. Great Falls
  5. Counselor
  6. NPI Profile

SAMANTHA LYNN GORDON M. ED
NPI 1497560999
Counselor - Professional in Great Falls, MT

Active since February 11, 2025PECOS Enrolled
3360 10TH AVE S, GREAT FALLS, MT 59405(405) 563-8117 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Lynn Gordon M. Ed NPPES

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

SAMANTHA LYNN GORDON M. ED (NPI 1497560999) is an individual professional provider in Great Falls, Montana, licensed in Montana (BBH-LCPC-LIC-72706) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497560999
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA LYNN GORDONCredential: M. ED
Location Address3360 10TH AVE SGreat Falls, MT 59405-3451
Mailing Address603 Willow Creek CtGreat Falls, MT 59405-1315 · (928) 257-9877
Phone(405) 563-8117
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 11, 2025
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1497560999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MT · BBH-LCPC-LIC-72706
3360 10TH AVE S, Great Falls, MT 59405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Lynn Gordon M. Ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406333012
PECOS Enrollment IDI20260123003417
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

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

RACHEL FIONA HOGAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3360 10TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 771-8182

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 Samantha Gordon's NPI number?

The NPI number for Samantha Gordon is 1497560999. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Samantha Gordon located?

Samantha Gordon practices at 3360 10th Ave S, Great Falls, MT 59405. The listed phone number is (405) 563-8117.

What is Samantha Gordon's specialty?

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

Is Samantha Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Gordon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.