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MS. JUDI MARIE GORDON RN, LADC
NPI 1679750608
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since January 22, 2008
1911 PLEASANT AVE. SOUTH, CREATE, INC, MINNEAPOLIS, MN 55403(612) 874-9811(612) 874-9820 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Judi Marie Gordon Rn, Ladc NPPES

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

MS. JUDI MARIE GORDON RN, LADC (NPI 1679750608) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (300170) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1679750608
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JUDI MARIE GORDONCredential: RN, LADC
Location Address1911 PLEASANT AVE. SOUTH, CREATE, INCMinneapolis, MN 55403
Mailing Address1911 Pleasant Ave. South, Create, IncMinneapolis, MN 55403 · (612) 874-9811 · Fax (612) 874-9820
Phone(612) 874-9811
Fax(612) 874-9820
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
✔ NPI 1679750608 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
License✔ Licensed in MN · 300170
Also ListedRegistered NurseTaxonomy 163W00000X · License R-062487-1 (MN)
1911 PLEASANT AVE. SOUTH, Minneapolis, MN 55403
Open in Google Maps ↗

Other Identifiers 2

OtherR-062487-1MN · Registered Nurse
Other300170MN · Ladc

Other Providers at the Same Location NPPES

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

MR. WILLIAM CLAYTON OBERG LADC
Counselor (Addiction (Substance Use Disorder))
1911 PLEASANT AVE. SOUTH, CREATE, INC
MINNEAPOLIS, MN 55403
Hennepin County (612) 874-9811

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 Judi Gordon's NPI number?

The NPI number for Judi Gordon is 1679750608. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Judi Gordon located?

Judi Gordon practices at 1911 Pleasant Ave. South Create, Inc, Minneapolis, MN 55403. The listed phone number is (612) 874-9811.

What is Judi Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Judi Gordon was last updated on January 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.