Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871136267 Individual Practitioner Male Practitioner

Michael Deshuan Gordon , LPC

Counselor - Professional • Clinton, MS

Professional Overview & Biography Verified Profile Summary

Michael Gordon, LPC is a registered healthcare professional specializing in Counselor - Professional in Clinton, MS. Practice services are available at 112 SPANISH MOSS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Spanish Moss Dr

Clinton, MS 390565838

Telephone 6013766222

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Clinton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Clinton, MS (1096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MS 2272

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID None
NONE (MS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2019

Registered at 112 SPANISH MOSS DR, CLINTON, MS 390565838 (Tel: 6013766222)

📍
Updated Business Mailing Address October 18, 2019

Registered at 112 SPANISH MOSS DR, CLINTON, MS 390565838 (Tel: 6013766222)

👤
Provider Name / Credentials Updated October 18, 2019

Recorded as MICHAEL GORDON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2019

Counselor (License #2272 in MS)

🟢
Initial NPI Registration & Enumeration October 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871136267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2019
Last Update: October 18, 2019
Sole Proprietor: Yes

Mailing Address

112 Spanish Moss Dr

Clinton, MS 390565838

Phone: 6013766222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.