| Ruby Katherine Gordon, MA,EDS,LPC | |
|
307 E King St Ste A, Kings Mountain, NC 28086-3492 | |
| (704) 214-7237 | |
| (855) 306-2963 |
| Full Name | Ruby Katherine Gordon |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 307 E King St Ste A, Kings Mountain, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922357391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9040 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| Dynamic Solutions Center For Counseling Pllc | 3476997156 | 2 |
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240605003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Katherine Gordon, MA,EDS,LPC Po Box 2186, Kings Mountain, NC 28086-6186 Ph: (704) 214-7237 | Ruby Katherine Gordon, MA,EDS,LPC 307 E King St Ste A, Kings Mountain, NC 28086-3492 Ph: (704) 214-7237 |
Mrs. Felice Hightower Britt, LCMHCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 608 W King St, Kings Mountain, NC 28086 Phone: 704-523-5745 Fax: 704-749-8833 |
Connie Jo Mark, LCAS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 Tiara Dr Trlr 3, Kings Mountain, NC 28086 Phone: 704-730-8762 |
Karli Rachel Ford, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 W King St, Kings Mountain, NC 28086 Phone: 704-739-5456 |
Ms. Denise Renee Garver, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5032 Southbrook Dr, Kings Mountain, NC 28086 Phone: 724-841-2441 |
Mrs. Patricia Simone Mcintyre, CSAC,LPCA,LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Marcella Dr, Kings Mountain, NC 28086 Phone: 704-473-5450 |
Mr. David Whelchel Gentry, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Patterson Rd, Kings Mountain, NC 28086 Phone: 704-739-0365 Fax: 877-416-0624 |
Tierra Watkins Bates, Counselor Medicare: Medicare Enrolled Practice Location: 227 Kings Mountain Blvd, Kings Mountain, NC 28086 Phone: 704-476-8366 |