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TRYCEENA MARIE GORDON
NPI 1669007985
Counselor - Addiction (Substance Use Disorder) in Rochester, NY

Active since March 06, 2020PECOS Enrolled
81 LAKE AVE, ROCHESTER, NY 14608(585) 368-6901(585) 546-5806 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tryceena Marie Gordon NPPES

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

TRYCEENA MARIE GORDON (NPI 1669007985) is an individual addiction (substance use disorder) provider in Rochester, New York and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669007985
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRYCEENA MARIE GORDON
Location Address81 LAKE AVERochester, NY 14608-1410
Mailing Address81 Lake AveRochester, NY 14608-1410 · (585) 368-6901 · Fax (585) 546-5806
Phone(585) 368-6901
Fax(585) 546-5806
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1669007985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
81 LAKE AVE, Rochester, NY 14608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tryceena Marie Gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597223313
PECOS Enrollment IDI20260821000216
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.

Medicare Billing Reassignment

Medicare enrollment records show Tryceena Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,208 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

STEPHANIE VEALE DOBBIN LMFT
Marriage & Family Therapist
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900
SHANETTA S WILLIAMS
Counselor (Mental Health)
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900
DAVID REED
Counselor (Addiction (Substance Use Disorder))
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 723-7723
ABBY JUSTINE SMITH
Counselor (Mental Health)
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900
KATHLEEN MARIE AUBERGER LCSW-R
Social Worker (Clinical)
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
ROCHESTER, NY 14608
Monroe County (585) 368-6900
CARLOS BAHR LMSW
Counselor (Mental Health)
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900
DEANA BECKFORD
Counselor (Addiction (Substance Use Disorder))
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900
LUCAS MICHAEL GLEBER
Counselor (Mental Health)
81 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 368-6900

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 Tryceena Gordon's NPI number?

The NPI number for Tryceena Gordon is 1669007985. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Tryceena Gordon located?

Tryceena Gordon practices at 81 Lake Ave, Rochester, NY 14608. The listed phone number is (585) 368-6901.

What is Tryceena Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tryceena Gordon enrolled in Medicare?

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

Which organization bills Medicare for Tryceena Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tryceena Gordon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tryceena Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tryceena Gordon was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.