Active NPI 1508795345 Individual Practitioner Female Practitioner

Kimberly Gordon , LPC-IT

Counselor - Professional • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kimberly Gordon, LPC-IT is a registered healthcare professional specializing in Counselor - Professional in Appleton, WI. Practice services are available at 4635 W COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4635 W College Ave

Appleton, WI 549148507

Telephone 9207507000

Associated Practice Facility / Clinic

🏢 Catalpa Health Facility NPI 1386992451

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.1 Yrs

State Avg: 12.8 Yrs

Regional Practice Density

194 Specialists

Practicing in Appleton, WI (4511 Statewide)

Telehealth Adoption Rate

4.6% 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: 2026-05-18

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Maria Vercimak , LPC

Counselor - Professional

NPI 1003279753

Licensed Professional Counselor

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

Yer Thao

Counselor - Professional

NPI 1023702156

Scott Radtke , LPC

Counselor - Professional

NPI 1033106794

Licensed Professional Counselor

Stephanie Shirey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043672504

Lisa Engelhardt , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043686538

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 18, 2026

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2026

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507 (Tel: 9207507000)

📍

Updated Business Mailing Address May 18, 2026

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507 (Tel: 9207507000)

👤

Provider Name / Credentials Updated May 18, 2026

Recorded as KIMBERLY GORDON, LPC-IT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2026

Counselor

🟢

Initial NPI Registration & Enumeration May 18, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1508795345

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2026

Last Update: May 18, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4635 W College Ave

Appleton, WI 549148507

Phone: 9207507000

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.