SOPHIA CAMILLE GORDON
NPI 1609210459
Counselor - Mental Health in Tulsa, OK

Active since April 23, 2013
11428 E 20TH ST STE A, TULSA, OK 74128(918) 878-7877 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Camille Gordon NPPES

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

SOPHIA CAMILLE GORDON (NPI 1609210459) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1609210459
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSOPHIA CAMILLE GORDON
Location Address11428 E 20TH ST STE ATulsa, OK 74128-6452
Mailing Address9020 Cates WayOklahoma City, OK 73139-8518 · (405) 305-6559
Sole ProprietorNo
Enumeration DateApril 23, 2013
Last NPPES UpdateApril 24, 2013
NPI 1609210459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11428 E 20TH ST STE A, Tulsa, OK 74128

Other Identifiers 1

Medicaid000000000OK

Other Providers at the Same Location NPPES 10

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

Counselor
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor
11428 E 20TH ST STE A
TULSA, OK 74128
Behavior Analyst
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor (Mental Health)
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor (Mental Health)
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor (Mental Health)
11428 E 20TH ST STE A
TULSA, OK 74128
Counselor (Mental Health)
11428 E 20TH ST STE A
TULSA, OK 74128

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 Sophia Gordon's NPI number?

The NPI number for Sophia Gordon is 1609210459. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Sophia Gordon located?

Sophia Gordon practices at 11428 E 20th St Ste A, Tulsa, OK 74128. The listed phone number is (918) 878-7877.

What is Sophia Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Sophia Gordon was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.