Individual provider Active NPI

Alfred Gray Sr., M.A.,LPC

  • Counselor
  • Raeford, NC
National Provider Identifier
1215167366
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7470 Issued in NC
Practice address
131 W Edinborough Ave
Raeford, NC 28376-2861
Phone
(910) 848-1222
Fax
(910) 848-0222
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7470 NC Primary

Addresses

Primary practice location

131 W Edinborough Ave
Raeford, NC 28376-2861

Mailing address

131 W Edinborough Ave
Raeford, NC 28376-2861
Phone (910) 848-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7470NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haymount Institute for Psychological Services, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC Current Accepting new patients

Locations

806 Hay St
Fayetteville, NC 28305
Phone 9108607008117

996 Helen St
Fayetteville, NC 28303
Phone (910) 635-0115

131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1215167366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W EDINBOROUGH AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762861",
            "telephone_number": "910-848-1222",
            "fax_number": "910-848-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W EDINBOROUGH AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762861",
            "telephone_number": "910-848-1222",
            "fax_number": "910-848-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALFRED",
        "name_suffix": "Sr.",
        "credential": "M.A.,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "7470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.