SHAKINA M GORDON MS, LPC
NPI 1902292766
Counselor - Professional in Manchester, CT

Active since April 08, 2015PECOS Enrolled
444 CENTER ST, MANCHESTER, CT 06040(860) 731-5522(890) 731-5536 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shakina M Gordon Ms, Lpc NPPES

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

SHAKINA M GORDON MS, LPC (NPI 1902292766) is an individual professional provider in Manchester, Connecticut, licensed in Connecticut (006085) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Danbury.

NPPES Registry Identity

NPI1902292766
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHAKINA M GORDONCredential: MS, LPC
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address141 E Main St, 4th Floor-administrationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Fax(890) 731-5536
Sole ProprietorNo
Enumeration DateApril 8, 2015
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
NPI 1902292766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 006085
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
444 CENTER ST, Manchester, CT 06040

Secondary Practice Location 1

Location 172 West St, Danbury Clinical ServicesDanbury, CT 06810-6531 · Phone (203) 797-9778 · Fax (203) 797-9858

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shakina M Gordon Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040

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 Shakina Gordon's NPI number?

The NPI number for Shakina Gordon is 1902292766. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Shakina Gordon located?

Shakina Gordon practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 731-5522.

What is Shakina Gordon's specialty?

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

Is Shakina Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shakina Gordon was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.