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Active NPI 1891338976 Individual Practitioner Female Practitioner

Dr. Beverly Patricia Gordon , PsyD, LPC, RN

Counselor - Professional • Malvern, PA

Professional Overview & Biography Verified Profile Summary

Dr. Beverly Gordon, PsyD, LPC, RN is a registered healthcare professional specializing in Counselor - Professional in Malvern, PA. Practice services are available at 5 GREAT VALLEY PKWY STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Great Valley Pkwy Ste 210

Malvern, PA 193551426

Telephone 6106483901
Associated Practice Facility / Clinic
🏢 Illumination Counseling Services, Llc Facility NPI 1013566454

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Malvern, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
37 Specialists

Practicing in Malvern, PA (9514 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

CMS Verified: 2021-01-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License PA PC012706

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Abass Koroma

Home Health Aide

NPI 1609629062

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 28, 2021

Registered at 5 GREAT VALLEY PKWY STE 210, MALVERN, PA 193551426 (Tel: 6106483901)

📍
Updated Business Mailing Address January 28, 2021

Registered at 5 GREAT VALLEY PKWY STE 210, MALVERN, PA 193551426 (Tel: 6106483901)

👤
Provider Name / Credentials Updated January 28, 2021

Recorded as BEVERLY GORDON, PSYD, LPC, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2021

Counselor (License #PC012706 in PA)

✅
NPI Profile Active October 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2019

Registered at 301 W 15TH ST, CHESTER, PA 190135300 (Tel: 6106198708)

📍
Updated Business Mailing Address October 22, 2019

Registered at 301 W 15TH ST, CHESTER, PA 190135300 (Tel: 6106198708)

👤
Provider Name / Credentials Updated October 22, 2019

Recorded as BEVERLY GORDON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2019

Counselor

🟢
Initial NPI Registration & Enumeration October 22, 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: 1891338976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2019
Last Update: January 28, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5 Great Valley Pkwy Ste 210

Malvern, PA 193551426

Phone: 6106483901

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.