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LISA GORDON
NPI 1508453143
Peer Specialist in Yakima, WA

Active since December 29, 2020
402 S 4TH AVE, YAKIMA, WA 98902(509) 575-4084 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Gordon NPPES

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

LISA GORDON (NPI 1508453143) is an individual peer specialist in Yakima, Washington and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1508453143
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLISA GORDON
Location Address402 S 4TH AVEYakima, WA 98902-3546
Mailing AddressPo Box 959Yakima, WA 98907-0959
Phone(509) 575-4084
Sole ProprietorNo
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1508453143 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.
402 S 4TH AVE, Yakima, WA 98902
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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.

CHRISTIAN SULLIVAN
Counselor (Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-3874
LESLIE KINCADE
Counselor
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
ALLISON LANGSTON
Nurse's Aide
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
BRITNEY JEAN SKILLMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 317-2613
NATALIA RAMOS
Case Manager/Care Coordinator
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
NICOLE A TATUM
Social Worker (Clinical)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
KRYSTAL LESLIE WEBER DNP
Nurse Practitioner (Psychiatric/Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
TRICIA L JENNINGS
Counselor (Addiction (Substance Use Disorder))
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084

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 Lisa Gordon's NPI number?

The NPI number for Lisa Gordon is 1508453143. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Lisa Gordon located?

Lisa Gordon practices at 402 S 4th Ave, Yakima, WA 98902. The listed phone number is (509) 575-4084.

What is Lisa 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 Lisa Gordon was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.