Ruby Katherine Gordon, MA,EDS,LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9040 Issued in NC

Practice address

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

Phone

(704) 214-7237

Fax

(855) 306-2963

NPI assigned

Aug 31, 2012

Last updated

Nov 29, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, GA, SC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Dynamic Solutions Center for Counseling PLLCGroup PAC ID 3476997156, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Dynamic Solutions Center for Counseling, PLLC

  • Mental Health Counselor
  • Kings Mountain, NC
  • NPI 1245869700
  Medicare reassignment Care Compare group NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, SC

  Medicare reassignment Care Compare group NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1922357391",
    "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": [
        {
            "address_1": "608 W King St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280863373",
            "country_code": "US",
            "telephone_number": "704-214-7237",
            "fax_number": "855-306-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RUBY",
        "middle_name": "KATHERINE",
        "credential": "MA,EDS,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9040",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

• Deepak Ramchandra Gelot., M.D.
• David Whelchel Gentry, MSSW
• George & Dest, DDS, PLLC (Dest Family Dentistry of Kings Mountain)
• Donnell Gill
• Donald James Gloege, LCSW, LISW-CP, BCD
• McGovern Greeley
• Tenae Griffin, NP
• Michael Bernard Haas, PT, DPT, CAFS
• Joshua Haney, PHARMD
• Judy Harmon

• 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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.