Amy Gray Therriault, LCMHC, BSN, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17859 Issued in NC

Practice address

340 Sandy Ridge Rd
Dunn, NC 28334-8824

Phone

(252) 665-3071

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1427784370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SANDY RIDGE RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283348824",
            "telephone_number": "252-665-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SANDY RIDGE RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283348824",
            "telephone_number": "252-665-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIAULT",
        "first_name": "AMY",
        "middle_name": "GRAY",
        "credential": "LCMHC, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "233656",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
            "identifier": "A17859",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard William Temblador, PHYSICIAN ASSISTANT
• Meena Thapa Magar
• The Carolinas Emergency Group, PLLC
• The Carrolton of Dunn, LLC (The Carrolton of Dunn)
• The Carter Clinic
• Thomas Drug Store of Dunn Inc (Thomas Drug Store)
• Thomas Drug Store of Dunn Inc
• Thomas Drug Store of Dunn, Inc
• Thomas Edward Hodges (Unprecedented Care)
• Sarah Louise Thomas, M.A.

• Mental Health Counselor in Dunn, NC
• Providers in Dunn, 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 Apr 7, 2026; 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.