JAMIE LEE GORDON LPC-S NPI 1649383886

NPI Information

NPI: 1649383886
Provider Name: JAMIE LEE GORDON, LPC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
920 MITCHELL ST
CONWAY, AR
ZIP 72034
Phone: (501) 620-0162
Get Directions

Jamie Lee Gordon, LPC-S is a professional counselor in Conway, AR. Jamie Lee Gordon, LPC-S NPI is 1649383886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 MITCHELL ST
CONWAY, AR
ZIP 72034-148
Phone: (501) 620-0162

The NPI 1649383886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 4/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	P0509059	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1639558398	OTHER		NPPES
2	1639558398	OTHER	ARKANSAS	NPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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