DENISE ANN GORDON (LPC) – Professional Counselor, NPI 1225284201

DENISE ANN GORDON (LPC) is a healthcare provider. based in Little rock, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. P1306069 (AR). The NPI Number for DENISE ANN GORDON (LPC) is 1225284201

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DENISE ANN GORDON (LPC)
NPI
1225284201
Phone
(501) 663-5473
Address
10025 W. MARKHAM ST
Enumeration Date
11 August 2008
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013154224
Graduation Year
2009 (17 years ago)
PAC ID
0749623098
Group Practice PAC ID
6204885304
Professional Enrollment ID
I20240204000082
Address ID
AR720154436BE110XXPEAR200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for DENISE ANN GORDON (LPC)

  • 10025, West Markham Street, Little Rock, Pulaski County, Arkansas, 72205, United States

    SUITE 210

    LITTLE ROCK, AR 72205

    Phone: (501) 663-5473

    Fax: (501) 801-1816

    Type: Mailing

  • 110 PEARSON

    BENTON, AR 720154436

    Phone: (501) 315-4224

    Fax: (501) 778-0450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240204000082IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204885304View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-MO
Clinical Social WorkerAR
Nurse PractitionerAR
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
P S Y C H I A T R YAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Can I use this page to confirm DENISE ANN GORDON (LPC)'s NPI?
Yes. DENISE ANN GORDON (LPC) is listed with NPI 1225284201 in the public NPI dataset.
Can I rely on DENISE ANN GORDON (LPC) being an active provider?
As of the registry snapshot, DENISE ANN GORDON (LPC) is marked active.
What is DENISE ANN GORDON (LPC)'s specialty?
The listing groups DENISE ANN GORDON (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DENISE ANN GORDON (LPC) on a map?
Expect Little Rock, Arkansas as a primary anchor for DENISE ANN GORDON (LPC) unless the record lists multiple sites.
Why does DENISE ANN GORDON (LPC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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