ANDREW GORDON (LPC) – Mental Health Counselor, NPI 1114008752

ANDREW GORDON (LPC) is a healthcare provider. based in Saginaw, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6401009563 (MI). The NPI Number for ANDREW GORDON (LPC) is 1114008752

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW GORDON (LPC)
NPI
1114008752
Phone
(989) 244-1888
Address
6030 Bay Rd
Enumeration Date
18 October 2006
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892441888
Graduation Year
2005 (21 years ago)
PAC ID
7214385459
Group Practice PAC ID
5496773863
Professional Enrollment ID
I20231128002195
Address ID
MI486406792MI5816XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for ANDREW GORDON (LPC)

  • 6030 Bay Rd

    Saginaw, MI 486048703

    Phone: (989) 244-1888

    Fax: (989) 321-6544

    Type: Location

  • 2589 N 11 MILE RD

    SANFORD, MI 486579747

    Phone: (989) 941-2224

    Type: Mailing

  • 5816 EASTMAN AVE

    MIDLAND, MI 486406792

    Phone: (989) 244-1888

    Fax: (989) 321-6544

    Type: Location

  • 114, Tuscola Road, City of Bay City, Hampton Charter Township, Bay County, Michigan, 48708, United States

    BAY CITY, MI 487086995

    Phone: (989) 895-0788

    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: 2023-11-28

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
I20231128002195IMental Health CounselorMITBD

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 48604)

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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: 5496773863View full group profile
NameSpecialtyState
Mental Health CounselorMI
-MI
Clinical PsychologistMI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do I look up ANDREW GORDON (LPC) by NPI?
Use NPI 1114008752 when you need to reference ANDREW GORDON (LPC) in forms, claims, or directories.
Is ANDREW GORDON (LPC) active in the national directory?
ANDREW GORDON (LPC)'s public NPI profile is in an active state.
Can you summarize ANDREW GORDON (LPC)'s specialty in plain language?
Clinically, the directory lists ANDREW GORDON (LPC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is ANDREW GORDON (LPC)'s primary listing?
We display Saginaw, Michigan because that is what the record indicates for ANDREW GORDON (LPC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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