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SHELBY GORDON
NPI 1952966905
Counselor - Mental Health in Riverside, CA

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
2085 RUSTIN AVE, RIVERSIDE, CA 92507(951) 955-8000 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Gordon NPPES

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

SHELBY GORDON (NPI 1952966905) is an individual mental health provider in Riverside, California and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952966905
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY GORDON
Location Address2085 RUSTIN AVERiverside, CA 92507-2498
Mailing Address7515 Delaware StRiverside, CA 92504-3738 · (773) 842-8877
Phone(951) 955-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2019
✔ NPI 1952966905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2085 RUSTIN AVE, Riverside, CA 92507
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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 and accepts Medicare assignment

Shelby Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991140113
PECOS Enrollment IDI20240228000357
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.

MR. LUIS CARLOS LAMADRID B.A.,CAS. MSW
Social Worker
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7172
GAIL LOUISE LEAVITT CPSS
Peer Specialist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-1183
ERNESTINA ELIZABETH MCGREW RN
Registered Nurse
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-2105
MIGUEL A AGUILAR JR.
Student in an Organized Health Care Education/Training Program
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7170
MRS. KRISTIN JEAN MILLER M.S.W
Social Worker (Clinical)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MICHAEL DEGRUTT LMFT
Counselor (Mental Health)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MYRA LAREA QUIRK
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7263
LORENA MIHALKOVITZ MA, LMFT
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 867-3800

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 Shelby Gordon's NPI number?

The NPI number for Shelby Gordon is 1952966905. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Shelby Gordon located?

Shelby Gordon practices at 2085 Rustin Ave, Riverside, CA 92507. The listed phone number is (951) 955-8000.

What is Shelby Gordon's specialty?

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

Is Shelby Gordon enrolled in Medicare?

Yes. Shelby Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelby Gordon was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.