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MR. GORDON JACK GUNN LCSW
NPI 1982808176
Counselor - Mental Health in Washington, UT

Active since June 12, 2007Opted out of Medicare · through Apr 1, 2027
2458 S CAMINO REAL, WASHINGTON, UT 84780(435) 773-1117 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gordon Jack Gunn Lcsw NPPES

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

MR. GORDON JACK GUNN LCSW (NPI 1982808176) is an individual mental health provider in Washington, Utah, licensed in Utah (121756-3501) and active in the NPI registry since June 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982808176
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GORDON JACK GUNNCredential: LCSW
Location Address2458 S CAMINO REALWashington, UT 84780-8292
Mailing Address2458 S Camino RealWashington, UT 84780-8292 · (435) 773-1117
Phone(435) 773-1117
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateApril 25, 2008
✔ NPI 1982808176 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 UT · 121756-3501
2458 S CAMINO REAL, Washington, UT 84780
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Gordon Jack Gunn Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Gordon Gunn's NPI number?

The NPI number for Gordon Gunn is 1982808176. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Gordon Gunn located?

Gordon Gunn practices at 2458 S Camino Real, Washington, UT 84780. The listed phone number is (435) 773-1117.

What is Gordon Gunn's specialty?

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

Is Gordon Gunn enrolled in Medicare?

No. Gordon Gunn has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gordon Gunn was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.