Active NPI
Samantha Gingles, LCMHC
- Mental Health Counselor
- Dallas, NC
National Provider Identifier
1649055708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19109
- Practice address
- 1221 Ratchford Dr
Dallas, NC 28034-7599 - Phone
- (704) 922-5297
- Fax
- (704) 922-9841
- NPI assigned
- Aug 28, 2023
- Last updated
- Jul 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19109 | NC | Primary |
| Mental Health Counselor | 101YM0800X | A19109 | NC |
Addresses
Primary practice location
1221 Ratchford Dr
Dallas, NC 28034-7599
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19109 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom to Flourish Coaching and Counseling PLLC | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients |
Locations
1221 Ratchford Dr
Dallas, NC 28034
Phone (704) 922-5297
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gastonia, NC
- NPI 1831086438
-
dba Kintegra at W.C. Friday Middle
- Federally Qualified Health Center (FQHC)
- Dallas, NC
- NPI 1861170607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1649055708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 RATCHFORD DR",
"city": "DALLAS",
"state": "NC",
"postal_code": "280347599",
"telephone_number": "704-922-5297",
"fax_number": "704-922-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGLES",
"first_name": "SAMANTHA",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "19109",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A19109",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, NC
- Gaston Family Health Services, Inc. (Kintegra at North Gaston High)
- Gaston Family Health Services, Inc. (Kintegra at Carr Elementary)
- Gaston Family Health Services, Inc. (Kintegra at Costner Elementary)
- Gaston Family Health Services, Inc. (Kintegra at W.C. Friday Middle)
- Melvis George
- April Hart
- Heartfelt Haven Services LLC
- Sarah Tench Helms, FNP-C
- Henning and Associates Inc (Odyssey Counseling)
- Katherine L Hill, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.