Individual
JESSICA ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YP2500X
Professional Counselor
Primary
6401018026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265994206
—
MI
Enumeration date
04/01/2019
Last updated
05/07/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up