MRS. CALLIE GORDON LPC
NPI 1760061097
Counselor - Professional in San Angelo, TX

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 747-2225(325) 747-8034 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2025, Apr 5, 2021 (2 updates tracked since 2021).

  • Individual
  • Female
  • Years of Experience 10
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CALLIE GORDON

This page provides the complete NPI Profile along with additional information for Callie Gordon, a provider established in San Angelo, Texas with a medical specialization in Counselor, focusing in professional and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1760061097 assigned on April 2021. The practitioner's primary taxonomy code is 101YP2500X with license number 79618 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1760061097 Verify this NPI
Provider Name
MRS. CALLIE GORDON LPC
Gender
Female
Entity Type
Individual
Location Address
3555 KNICKERBOCKER RD SAN ANGELO, TX 76904
Location Phone
(325) 747-2225
Location Fax
(325) 747-8034
Mailing Address
3555 KNICKERBOCKER RD SAN ANGELO, TX 76904
Mailing Phone
(325) 747-2225
Mailing Fax
(325) 747-8034
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
04-05-2021
Last Update Date
07-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
79618
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) - HMO
  • UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Sanitas Bronze Standard - HMO
  • UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Callie Gordon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Callie Gordon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3971949413

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240307000551

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. CALLIE GORDON LPC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Dentist (Pediatric Dentistry)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Dermatology
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Pediatrics)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Podiatrist
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Family)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Psychiatric/Mental Health)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Family Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Counselor (Professional)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physician Assistant
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760061097, enumerated as an "individual" on April 05, 2021.

The provider is located at 3555 KNICKERBOCKER RD SAN ANGELO, TX 76904 and the phone number is (325) 747-2225.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.