1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Counselor
  6. NPI Profile

MRS. DEIRDRA GORDON LPC
NPI 1912529207
Counselor - Professional in Fort Smith, AR

Active since May 10, 2020PECOS Enrolled
3111 S 70TH ST, FORT SMITH, AR 72903(479) 452-6650 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2020, May 10, 2020 (2 updates tracked since 2020).

About Mrs. Deirdra Gordon Lpc NPPES

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

MRS. DEIRDRA GORDON LPC (NPI 1912529207) is an individual professional provider in Fort Smith, Arkansas, licensed in Arkansas (P2208011) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912529207
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DEIRDRA GORDONCredential: LPC
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing Address5410 Phoenix Ave Unit 134Fort Smith, AR 72903-6054 · (479) 388-1272
Phone(479) 452-6650
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2020
Last NPPES UpdateNovember 25, 20242 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1912529207 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 AR · P2208011
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A1902016 (AR)
3111 S 70TH ST, Fort Smith, AR 72903
Open in Google Maps ↗

Other Names 1

Former Name (1)Deirdra Shanel Pledger Lac

Secondary Practice Location 1

Location 15410 Phoenix Avenue, Unit # 134Fort Smith, AR 72903-6054 · Phone (479) 388-1272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

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

PECOS PAC ID2264872555
PECOS Enrollment IDI20240503001140
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.

KAREN MCGREW LPN
Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
STAR HARBOTTLE LAC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN AWBREY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JENEFER JUAREZ
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
HAYLIE J WILSON
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN HOCKADAY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
DR. KRISTEN W ECKELHOFF PSYD
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
MS. DINORA MORALES REYES LPC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650

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 Deirdra Gordon's NPI number?

The NPI number for Deirdra Gordon is 1912529207. It was assigned to this individual provider in the NPPES registry on May 10, 2020. The provider is also known as Deirdra Shanel Pledger Lac.

Where is Deirdra Gordon located?

Deirdra Gordon practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-6650.

What is Deirdra Gordon's specialty?

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

Is Deirdra Gordon enrolled in Medicare?

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

What insurance does Deirdra Gordon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Deirdra 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 Deirdra Gordon was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.