Dynamic Solutions Center for Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DYNAMIC SOLUTIONS CENTER FOR COUNSELING, PLLC

Practice address

307 E King St Ste a
Kings Mountain, NC 28086-3492

Phone

(704) 214-7237

Fax

(855) 306-2963

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Ruby K Gordon, LCMHCNPI 1922357391

Title

Provider

Phone

(704) 923-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Katherine Gordon MA, EdS, LPC Former legal business name
• Katherine Gordon MA,EdS, LPC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruby Katherine Gordon, MA,EDS,LPC

  • Mental Health Counselor
  • Kings Mountain, NC
  • NPI 1922357391
  Medicare reassignment Care Compare group NPD Authorized official
• Alisha L Hall, LCMHC-A, LCAS-A

  • Mental Health Counselor
  • Lincolnton, NC
  • NPI 1932787785
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1245869700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2186",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280866186",
            "telephone_number": "704-214-7237",
            "fax_number": "855-306-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E KING ST STE A",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863492",
            "telephone_number": "704-214-7237",
            "fax_number": "855-306-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SOLUTIONS CENTER FOR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "704-923-2000",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12620074",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 E King St Ste A",
            "city": "Kings Mountain",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280863492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Katherine Gordon MA, EdS, LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Katherine Gordon MA,EdS, LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.