MIA GORDON – Counselor, NPI 1285053033

MIA GORDON is a healthcare provider. based in Pittsfield, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MIA GORDON is 1285053033

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MIA GORDON
NPI
1285053033
Phone
(413) 629-1251
Address
359 FENN ST
Enumeration Date
9 April 2014
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4134990412
Graduation Year
2014 (12 years ago)
PAC ID
3375902703
Group Practice PAC ID
7214907906
Professional Enrollment ID
I20230703002799
Address ID
MA012015369PI333XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:12State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MIA GORDON

  • 359 FENN ST

    ADMINISTRATIVE OFFICES

    PITTSFIELD, MA 012015261

    Phone: (413) 629-1251

    Fax: (413) 448-2198

    Mailing address matches the actual address.

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: 2023-07-03

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
I20230703002799IClinical Social WorkerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy15631$0
90834Psychotherapy, 45 minutes11621$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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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: 7214907906View full group profile
NameSpecialtyState
Nurse PractitionerMA
Clinical Social WorkerMA
Certified Clinical Nurse Specialist (Cns)NY
-MA
Physician AssistantMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I verify MIA GORDON with an NPI only?
You can start verification with NPI 1285053033 for MIA GORDON, then check state licensing separately.
Can I rely on MIA GORDON being an active provider?
As of the registry snapshot, MIA GORDON is marked active.
What healthcare role does MIA GORDON hold?
Scheduling teams often label MIA GORDON under Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect MIA GORDON on a map?
Expect Pittsfield, Massachusetts as a primary anchor for MIA GORDON unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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