IndividualActive
Tyler Gordon, CMHC
NPI 1104392042 · Mental Health Counselor · St George, UT
Provider details
- NPI number
- 1104392042
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- CMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 10977493-6009 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
750 Ridgeview Dr Ste 104
St George, UT 84770-2696
Phone: (801) 822-2407
Approximate (ZIP-level) locationGet directions
Mailing address
750 Ridgeview Dr Ste 104
St George, UT 84770-2696
Registry dates
- Enumerated
- 2018-10-18
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.