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JACQUELINE GORDON LPCC
NPI 1770949307
Counselor - Mental Health in Fresno, CA

Active since January 12, 2016PECOS EnrolledAccepts Medicare Assignment
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706(559) 264-5096 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Jul 6, 2021, Sep 3, 2020 and 3 more (6 updates tracked since 2016).

About Jacqueline Gordon Lpcc NPPES

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

JACQUELINE GORDON LPCC (NPI 1770949307) is an individual mental health provider in Fresno, California, licensed in California (LPCC5007) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770949307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE GORDONCredential: LPCC
Location Address2445 W WHITES BRIDGE AVEFresno, CA 93706-1225
Mailing Address2370 W. Cleveland Ave., Suite 108 #320Madera, CA 93637 · (209) 381-6800
Phone(559) 264-5096
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 12, 2016
Last NPPES UpdateAugust 23, 20226 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1770949307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LPCC5007
2445 W WHITES BRIDGE AVE, Fresno, CA 93706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jacqueline Gordon Lpcc 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 ID6709221310
PECOS Enrollment IDI20240305000927
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.

RAYMOND HOLM CADTP 21894
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
GLORIA GARZA
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
ROY PEREZ CADTP 18298
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
MR. BRYAN CHRISTOPHER BARKER CAADE 2291201
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 265-5096
JAMES REYES SR. CADTP 19732
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
WILLIAM LUJANO SUDRC 22896
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
ROLAND DAVID KING
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 485-6364
JAMES PICCOLO CADTP16434
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096

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 Jacqueline Gordon's NPI number?

The NPI number for Jacqueline Gordon is 1770949307. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Jacqueline Gordon located?

Jacqueline Gordon practices at 2445 W Whites Bridge Ave, Fresno, CA 93706. The listed phone number is (559) 264-5096.

What is Jacqueline Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Gordon enrolled in Medicare?

Yes. Jacqueline Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Gordon accept?

Health plans from Providence Health Plan list Jacqueline Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Gordon was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.