Gabriella Drouillard-Moser, M.A., M.A.,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCMHC15693 Issued in NC

Practice address

149 Yadkin Valley Rd Ste 200
Advance, NC 27006-8783

Phone

(336) 941-7544

Fax

(336) 551-8961

NPI assigned

Sep 18, 2018

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gabriella@chaoscoordinationtherapy.com

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.

• Addiction Treatment Center of New England, Inc.

  • Case Management Agency
  • Brighton, MA
  • NPI 1477605228
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1316421035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 CLEMMONS RD # 1494",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 YADKIN VALLEY RD STE 200",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068783",
            "telephone_number": "336-941-7544",
            "fax_number": "336-551-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6614 Shallowford Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "NC",
            "postal_code": "270239305",
            "country_code": "US",
            "telephone_number": "336-945-0137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77F Warren St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021353601",
            "country_code": "US",
            "telephone_number": "617-254-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROUILLARD-MOSER",
        "first_name": "GABRIELLA",
        "credential": "M.A., M.A.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCMHC15693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabriella@chaoscoordinationtherapy.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "149 Yadkin Valley Rd Ste 200",
            "city": "Advance",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270068783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Riddle Davis, MA., LPC
• Digestive Health Specialists, PA
• Digestive Health Specialists, PA
• Adam T. Dorsett, D.D.S
• Dr. Todd Carter D.D.S
• Jeffrey William Duffy, D.D.S.
• Kelly Jean Duffy, MD
• Jayme Nance Earle, M.S., CCC-SLP
• Eckerd Corporation (Rite Aid Pharmacy 11310)
• Kerry Eileen Eisinger, COTA

• Mental Health Counselor in Advance, NC
• Providers in Advance, 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 12, 2024; 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.