Kristina Gordon, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14876 Issued in NC

Practice address

5135 Morganton Rd
Fayetteville, NC 28314-1525

Phone

(910) 978-2491

Fax

(910) 500-0417

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Insight Community Counseling, PLLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1851032841
  NPD Authorized official

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1659926087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 MIRANDA DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283485683",
            "telephone_number": "910-229-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141525",
            "telephone_number": "910-978-2491",
            "fax_number": "910-500-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5037 Miranda Dr",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283485683",
            "country_code": "US",
            "telephone_number": "910-229-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KRISTINA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Goodwyn, PHD
• Aaron H Gootman, MD
• Prathima Gopinath, MD
• Austin Gordon
• Daniel S Gordon, MD
• Lakshmi Vadlamudi Gordon, MD
• Lamora Gordon, NP
• Michael Jay Gordon Sr., DDS
• Miranda Gordon
• Rebecca R Gordon, LCSW

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, 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 Jul 11, 2024; 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.