SUSAN R GORDON LPC
NPI 1922727254
Counselor - Mental Health in Sandpoint, ID

Active since August 22, 2022PECOS Enrolled
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864(208) 265-5412 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan R Gordon Lpc NPPES

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

SUSAN R GORDON LPC (NPI 1922727254) is an individual mental health provider in Sandpoint, Idaho, licensed in Idaho (9093) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922727254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN R GORDONCredential: LPC
Location Address2023 SANDPOINT WEST DRSandpoint, ID 83864-7304
Mailing Address2023 Sandpoint West DrSandpoint, ID 83864-7304 · (208) 265-5412
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1922727254 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 ID · 9093
2023 SANDPOINT WEST DR, Sandpoint, ID 83864

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365925724
PECOS Enrollment IDI20260313000752
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2023 SANDPOINT WEST DR
Sandpoint, ID 83864
  • Reassigned Medicare billing, Idaho enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Community/Behavioral Health
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Family Medicine
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Counselor
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Counselor (Professional)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864

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 Susan Gordon's NPI number?

The NPI number for Susan Gordon is 1922727254. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Susan Gordon located?

Susan Gordon practices at 2023 Sandpoint West Dr, Sandpoint, ID 83864. The listed phone number is (208) 265-5412.

What is Susan Gordon's specialty?

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

Is Susan Gordon enrolled in Medicare?

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

Which organization bills Medicare for Susan Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Gordon reassigns Medicare benefits to Human Connection Inc (Sandpoint, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Gordon accept?

Health plans from PacificSource Health Plans list Susan 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 Susan Gordon was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.