Active NPI
Shifting Paradigms Counseling and Consulting, PC
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1144586017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C005677
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007186 | Medicaid | NC |
Other names 1
- SHIFTING PARADIGMS COUNSELING AND CONSULTING, PC
National Provider Directory
National Provider DirectoryLocations
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.