Organization Active NPI

Gray Sappenfield Moulton

Doing business as Gray S. Moulton, LMFT, PLLC

  • Community/Behavioral Health Agency
  • Kernersville, NC
National Provider Identifier
1144885278
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRAY SAPPENFIELD MOULTON
Doing business as
Gray S. Moulton, LMFT, PLLC
Practice address
118 S Cherry St Ste D
Kernersville, NC 27284-2764
Phone
(336) 287-7353
NPI assigned
May 3, 2019
Last updated
May 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Ms. Leslie Alexander
Title
Credentialing Specialist
Phone
(615) 763-5546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

118 S Cherry St Ste D
Kernersville, NC 27284-2764

Mailing address

118 S Cherry St Ste D
Kernersville, NC 27284-2764
Phone (336) 287-7353

Other names 1

  • Gray S. Moulton, LMFT, PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@masteringinsurance.com

National Provider Directory

National Provider Directory

Locations

118 S Cherry St
Ste D
Kernersville, NC 27284
Phone (336) 287-7353

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1144885278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S CHERRY ST STE D",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842764",
            "telephone_number": "336-287-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S CHERRY ST STE D",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842764",
            "telephone_number": "336-287-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY SAPPENFIELD MOULTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-763-5546",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@masteringinsurance.com",
            "affiliation": "N",
            "address_1": "118 S Cherry St Ste D",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272842764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gray S. Moulton, LMFT, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.