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MONA GORDON
NPI 1790134674
Counselor - Professional in Augusta, GA

Active since June 10, 2016PECOS Enrolled
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909(706) 364-1404 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2024, Nov 20, 2020, Feb 12, 2020 (3 updates tracked since 2020).

About Mona Gordon NPPES

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

MONA GORDON (NPI 1790134674) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC014638) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790134674
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMONA GORDON
Location Address3643 WALTON WAY EXT BLDG 4Augusta, GA 30909-6677
Mailing Address3643 Walton Way Ext Bldg 4Augusta, GA 30909-6677 · (706) 364-1404
Phone(706) 364-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2016
Last NPPES UpdateApril 21, 20243 updates tracked since enumeration
NPPES CertifiedApril 21, 2024
✔ NPI 1790134674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014638
3643 WALTON WAY EXT BLDG 4, Augusta, GA 30909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7214449214
PECOS Enrollment IDI20250625001854
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.

MARANA CHERELLE GAINER M.ED
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
MORA LOUREAN HARDY LPC
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
LAUREN LONG MA
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 421-4980
TASHA JACKSON LMT
Massage Therapist
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (762) 585-4589
LANEY DEZANET
Counselor (Professional)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
KANESHA L JONES
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 836-4965
MRS. DE'ZJANA MARIE PHINIEZY MED
Counselor (Professional)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 364-1401
HALEY WIESZCZECINSKI B.S.
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404

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 Mona Gordon's NPI number?

The NPI number for Mona Gordon is 1790134674. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Mona Gordon located?

Mona Gordon practices at 3643 Walton Way Ext Bldg 4, Augusta, GA 30909. The listed phone number is (706) 364-1404.

What is Mona Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mona Gordon enrolled in Medicare?

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

What insurance does Mona Gordon accept?

Health plans from CareSource list Mona 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 Mona Gordon was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.