Organization Active NPI

Shifting Paradigms Counseling and Consulting, PC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1144586017
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C005677 Issued in NC
Legal business name
SHIFTING PARADIGMS COUNSELING AND CONSULTING, PC
Practice address
9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563
Phone
(704) 207-0423
Fax
(704) 625-7129
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Massey, LCSW, LISW-CP, CCSOT
Title
Owner/Forensic Psychotherapist
Phone
(704) 491-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C005677 NC Primary

Addresses

Primary practice location

9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563

Mailing address

PO Box 178
Mount Holly, NC 28120-0178
Phone (704) 491-3097

Other identifiers 1

IdentifierTypeStateIssuer
6007186MedicaidNC

Other names 1

  • SHIFTING PARADIGMS COUNSELING AND CONSULTING, PC Doing business as

National Provider Directory

National Provider Directory

Locations

756 Tyvola Rd
Ste 126B
Charlotte, NC 28217
Phone (704) 488-7534

9635 Southern Pine Blvd
Ste 127
Charlotte, NC 28273
Phone (704) 207-0423

756 Tyvola Rd
#12B
Charlotte, NC 28217
Phone (704) 491-3097

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1144586017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281200178",
            "telephone_number": "704-491-3097",
            "fax_number": "704-625-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 127",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735563",
            "telephone_number": "704-207-0423",
            "fax_number": "704-625-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTING PARADIGMS COUNSELING AND CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/FORENSIC PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-491-3097",
        "authorized_official_credential": "LCSW, LISW-CP, CCSOT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIFTING PARADIGMS COUNSELING AND CONSULTING, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.