P Praxis·MD
● Active Type 1 · Individual

Andrew Derrick Gordon, LPC

Counselor·Fayetteville, GA· NPI 1699347112 · Enumerated 2021 · 4 years on NPI
Gordon is 1 of 78 counselor providers in Fayetteville and 1 of 7547 in Georgia.
NPI age
4 years
Enumerated 2021-07-14
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
500 Lanier Ave W
Fayetteville, GA 302147636
📞 4048004002fax 4043935698
Mailing address
7097 Southface Way
Austell, GA 301686361
📞 7703147674

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC012296 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Fayetteville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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