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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: August 02, 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
Phone(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
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Medicare Participation & PECOS CMS

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

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.

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.

LIFE LINE RESOURCES
Local Education Agency (LEA)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-6796
LIFELINE RESOURCES
Community/Behavioral Health
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-6796
DR. FRAZIER KING M.D
Family Medicine
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 255-1523
HUMAN CONNECTION INC
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-5412
NATALIE IRENE KOSTER
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-5412
CURTIS EDWARD FOSTER LPC
Counselor (Mental Health)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-5412
TARA BENNION
Counselor
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-5412
MAKAYLA SUNDQUIST LPS
Counselor (Professional)
2023 SANDPOINT WEST DR
SANDPOINT, ID 83864
Bonner County (208) 265-5412

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.

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 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.