TINA HELENE GORDON MA, MFT
NPI 1720270978
Marriage & Family Therapist in Moosic, PA

Q: What is Tina Gordon's NPI number?

The NPI number for Tina Gordon is 1720270978. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Q: What is Tina Gordon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Gordon was last updated on August 8, 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.

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina Helene Gordon Ma, Mft NPPES

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

TINA HELENE GORDON MA, MFT (NPI 1720270978) is an individual marriage & family therapist in Moosic, Pennsylvania, licensed in Pennsylvania (MF000529) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720270978

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTINA HELENE GORDONCredential: MA, MFT

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782

Mailing Address340 Montage Mountain RdMoosic, PA 18507-1782 · (570) 346-3686 · Fax (570) 558-6838

Phone(570) 346-3686

Fax(570) 558-6838

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 13, 2007

Last NPPES UpdateAugust 8, 2013

✔ NPI 1720270978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in PA · MF000529

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Helene Gordon Ma, Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072950724

PECOS Enrollment IDI20240318002459

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.

MRS. AMANDA LYN FIDIAM PA-C

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