Susan Gilpin, LCMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4065 Issued in NC

Practice address

304 E Trinity Ave
Durham, NC 27701-1947

Phone

(919) 328-9886

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1104049279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042706",
            "telephone_number": "919-328-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E TRINITY AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011947",
            "telephone_number": "919-328-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Broad St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053573",
            "country_code": "US",
            "telephone_number": "919-908-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 College St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652507",
            "country_code": "US",
            "telephone_number": "919-690-3217",
            "fax_number": "919-690-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilmore Counseling and Consulting Services, PLLC
• Ashley Danielle Gilmore, LCMHC
• Brian Fredericks Gilmore, M.D.
• Deon Gilmore, MSCCCSLP
• Liadainn Gilmore, LCSW
• Andrea Gilroy, DPM
• Benjamin Peter Gilroy, PHARMD
• Daniel Lee Gilstrap, M.D.
• Ginger Edwards, Professional Counselor
• Jeffrey R Gingrich, MD

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.