Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Aqualus Mondrell Gordon, PHD

Individual provider Counseling Psychologist · NPI 1235729575

Dr. Aqualus Mondrell Gordon, PHD is a Counseling Psychologist in Lees Summit, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1320 NE Windsor Dr
Lees Summit, MO 64086-8477
Phone: (816) 287-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2020017925 (MO)
Counseling Psychologist Taxonomy 103TC1900X · Licence 2020017925 (MO)

Record details

NPI number1235729575
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address702 Ne Westwind Dr, Lees Summit, MO 64086-5620

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