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KATISHA GORDON MS
NPI 1619109840
Counselor - Mental Health in Macon, MS

Active since August 21, 2009
200 MLK ST, MACON, MS 39341(662) 726-5042(662) 726-5009 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katisha Gordon Ms NPPES

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

KATISHA GORDON MS (NPI 1619109840) is an individual mental health provider in Macon, Mississippi and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1619109840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATISHA GORDONCredential: MS
Location Address200 MLK STMacon, MS 39341
Mailing Address302 N Jackson StStarkville, MS 39759-2504 · (662) 323-9261 · Fax (662) 324-9647
Phone(662) 726-5042
Fax(662) 726-5009
Sole ProprietorNo
Enumeration DateAugust 21, 2009
✔ NPI 1619109840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 MLK ST, Macon, MS 39341
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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 Katisha Gordon's NPI number?

The NPI number for Katisha Gordon is 1619109840. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Katisha Gordon located?

Katisha Gordon practices at 200 Mlk St, Macon, MS 39341. The listed phone number is (662) 726-5042.

What is Katisha 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 Katisha Gordon was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.