Corey James Gorder, LPCC is a
Counselor based in Bottineau, North Dakota. Corey James Gorder is licensed to practice in North Dakota (license number 569-12-15-06-190) and his current practice location is
104 11th St W, Ste. 4, Bottineau, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 201-0076.
NPI number for Corey James Gorder is 1588800882 and his current mailing address is 10275 Sjule Rd, Bottineau, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588800882.
Healthcare Provider's Profile
| Full Name | Corey James Gorder |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 104 11th St W, Bottineau, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588800882
- Provider Enumeration Date: 12/17/2008
- Last Update Date: 01/06/2016
Medical Identifiers
Medical identifiers for Corey James Gorder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588800882 | NPI | - | NPPES |
| 054517 | Medicaid | ND | |
| 1225448798 | Medicaid | ND | |
| 1588800882 | Other | ND | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 569-12-15-06-190 (North Dakota) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 569-12-15-06-190 (North Dakota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey James Gorder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Corey James Gorder, LPCC
10275 Sjule Rd,
Bottineau, ND 58318-7009
Ph: (701) 201-0076 | Corey James Gorder, LPCC
104 11th St W, Ste. 4,
Bottineau, ND 58318-2005
Ph: (701) 201-0076 |
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