Active NPI
Jay L Boulter, LMFT, LPC
- Marriage & Family Therapist
- Salisbury, NC
National Provider Identifier
1447210836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 19316
- Practice address
- 203 Cedarwood Dr
Salisbury, NC 28147-9111 - Phone
- (704) 633-3117
- Fax
- (704) 633-3117
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2335 | NC | |
| Marriage & Family Therapist | 106H00000X | 489 | NC | |
| Marriage & Family Therapist | 106H00000X | MFC 19316 | CA | Primary |
Addresses
Primary practice location
203 Cedarwood Dr
Salisbury, NC 28147-9111
Mailing address
203 Cedarwood Dr
Salisbury, NC 28147-9111
Phone (704) 633-3117
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34918 | Other | NC | CIGNA BEHAVIORAL PIN |
| 1010U | Other | NC | BCBSNC PIN |
| 5746163 | Other | NC | AETNA PIN |
| 118421 | Other | NC | VALUE OPTIONS PIN |
| 1584 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2335 | NC | MD | Behavioral Analyst |
| MFC 19316 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447210836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CEDARWOOD DR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479111",
"telephone_number": "704-633-3117",
"fax_number": "704-633-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 CEDARWOOD DR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479111",
"telephone_number": "704-633-3117",
"fax_number": "704-633-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULTER",
"first_name": "JAY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LMFT, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2335",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "489",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 19316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL PIN",
"identifier": "34918",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC PIN",
"identifier": "1010U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "5746163",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PIN",
"identifier": "118421",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1584",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.