Krissa Gordon, CRC, LAC is a
Counselor - Mental Health based in Mountainburg, Arkansas. Krissa Gordon is licensed to practice in Arkansas (license number A2201013) and her current practice location is
17371 N Highway 71, Mountainburg, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 790-3915.
NPI number for Krissa Gordon is 1669180873 and her current mailing address is 1600 Aldersgate Rd Ste 200, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669180873.
Healthcare Provider's Profile
Full Name | Krissa Gordon |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 17371 N Highway 71, Mountainburg, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669180873
- Provider Enumeration Date: 11/08/2022
- Last Update Date: 11/08/2022
Medical Identifiers
Medical identifiers for Krissa Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669180873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | A2201013 (Arkansas) | Primary |
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. Krissa Gordon 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 |
Krissa Gordon, CRC, LAC 1600 Aldersgate Rd Ste 200, Little Rock, AR 72205-6676 Ph: (501) 661-0720 | Krissa Gordon, CRC, LAC 17371 N Highway 71, Mountainburg, AR 72946-3615 Ph: (479) 790-3915 |
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