RUBY KATHERINE GORDON MA,EDS,LPC
NPI 1922357391
Counselor - Mental Health in Kings Mountain, NC
About Ruby Katherine Gordon Ma,eds,lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY KATHERINE GORDON MA,EDS,LPC (NPI 1922357391) is an individual mental health provider in Kings Mountain, North Carolina, licensed in North Carolina (9040) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kings Mountain, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ruby Katherine Gordon Ma,eds,lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ruby Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kings Mountain, NC 28086
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Georgia and South Carolina enrollments
- 206 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, North Carolina enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGS MOUNTAIN, NC 28086
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ruby Gordon's NPI number?
The NPI number for Ruby Gordon is 1922357391. It was assigned to this individual provider in the NPPES registry on August 31, 2012.
Where is Ruby Gordon located?
Ruby Gordon practices at 307 E King St Ste A, Kings Mountain, NC 28086. The listed phone number is (704) 214-7237.
What is Ruby Gordon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ruby Gordon enrolled in Medicare?
Yes. Ruby Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ruby Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Gordon reassigns Medicare benefits to 3 organizations: Dynamic Solutions Center For Counseling, PLLC (Kings Mountain, NC), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruby Gordon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 10 other insurers list Ruby Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruby Gordon was last updated on November 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ruby Katherine Gordon, MA,EDS,LPC · NPI 1922357391
Mental Health provider in Kings Mountain, North Carolina. Individual provider, active in the CMS NPPES registry since August 31, 2012.
## Identity
- **NPI:** 1922357391 (Entity type: Individual)
- **Enumerated:** August 31, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 9040 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 307 E KING ST STE A, Kings Mountain, NC 28086-3492
- **Phone:** (704) 214-7237 · **Fax:** (855) 306-2963
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dynamic Solutions Center For Counseling, PLLC (NPI 1245869700, Kings Mountain, NC); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1922357391) · Data from the CMS NPPES public registry.