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

Tito Terrell Gordon, LPC

Individual provider Professional Counselor · NPI 1366193609

Tito Terrell Gordon, LPC is a Mental Health Counselor in Augusta, Georgia. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3633 Wheeler Rd Ste 365
Augusta, GA 30909-6549
Phone: (706) 432-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3643 Walton Way Ext Bldg 4, Augusta, GA 30909-6677 — (706) 364-1404

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC016394 (GA)

Record details

NPI number1366193609
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 18, 2022
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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