Individual provider Active NPI

Betsy Jean Gilpin, LCPC, LCMHC

  • Professional Counselor
  • Holly Springs, NC
National Provider Identifier
1932509668
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014089 Issued in IL
Practice address
354A Raleigh St Ste a
Holly Springs, NC 27540-9047
Phone
(224) 212-0006
NPI assigned
Aug 29, 2014
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 21184 NC
Professional Counselor 101YP2500X 180014089 IL Primary

Addresses

Primary practice location

354A Raleigh St Ste a
Holly Springs, NC 27540-9047

Mailing address

354A Raleigh St Ste a
Holly Springs, NC 27540-9047
Phone (224) 212-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 30, 2025 through Jul 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180014089ILMDProfessional Counselor
21184NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberated Life Counseling, PLLC Professional CurrentSince Feb 1, 2022 Accepting new patients
Edgewood Clinical Services, P.C. PastSince Jul 26, 2023 Accepting new patients

Locations

11603 S Il Route 47
Ste F
Huntley, IL 60142
Phone (224) 212-0006

354A Raleigh St
Ste A
Holly Springs, NC 27540
Phone (224) 212-0006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1932509668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354A RALEIGH ST STE A",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "224-212-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354A RALEIGH ST STE A",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "224-212-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "BETSY",
        "middle_name": "JEAN",
        "credential": "LCPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "21184",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.