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MRS. VIOLA M STATHAM GORDON MA, PE, LPCA
NPI 1508906207
Counselor - Professional in Stanford, KY

Active since February 08, 2007PECOS Enrolled
322 FRONTIER BLVD, STANFORD, KY 40484(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Viola M Statham Gordon Ma, Pe, Lpca NPPES

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

MRS. VIOLA M STATHAM GORDON MA, PE, LPCA (NPI 1508906207) is an individual professional provider in Stanford, Kentucky, licensed in (1046) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508906207
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. VIOLA M STATHAM GORDONCredential: MA, PE, LPCA
Location Address322 FRONTIER BLVDStanford, KY 40484-7730
Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743
Phone(859) 253-1686
Fax(859) 254-2743
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateNovember 10, 2009
✔ NPI 1508906207 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 · 1046
322 FRONTIER BLVD, Stanford, KY 40484
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Other Names 1

Former Name (1)Viola M Statham

Other Identifiers 2

Medicaid30615058KY
Medicare ID-Type Unspecified3383KY · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Viola M Statham Gordon Ma, Pe, Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MS. TERESA D COFFMAN BS
Counselor (Professional)
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MRS. SHARLA D LAKE BS
Counselor (Mental Health)
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MRS. APRIL L VICKERS BS
Counselor (Mental Health)
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MS. KARI L MCGRATH
Case Manager/Care Coordinator
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MS. KARIN LOUCILE THOMPSON VANHORN LPCA
Counselor (Mental Health)
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (606) 365-2197
MR. MICHAEL W FOUCH
Case Manager/Care Coordinator
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MS. LEE C TRENT LCSW
Social Worker
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686
MS. GLORIA B DAVIS MA
Case Manager/Care Coordinator
322 FRONTIER BLVD
STANFORD, KY 40484
Lincoln County (859) 253-1686

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 Viola Statham Gordon's NPI number?

The NPI number for Viola Statham Gordon is 1508906207. It was assigned to this individual provider in the NPPES registry on February 8, 2007. The provider is also known as Viola M Statham.

Where is Viola Statham Gordon located?

Viola Statham Gordon practices at 322 Frontier Blvd, Stanford, KY 40484. The listed phone number is (859) 253-1686.

What is Viola Statham Gordon's specialty?

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

Is Viola Statham Gordon enrolled in Medicare?

Yes. Viola Statham Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Viola Statham Gordon was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.