Organization Active NPI

Liberated Life Counseling, PLLC

  • Professional Counselor
  • Huntley, IL
National Provider Identifier
1992458814
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIBERATED LIFE COUNSELING, PLLC
Practice address
11603 S Il Route 47 Ste F
Huntley, IL 60142-2512
Phone
(224) 212-0006
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Betsy Gilpin, LCPCNPI 1932509668
Title
Owner/Therapist
Phone
(815) 543-4309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11603 S Il Route 47 Ste F
Huntley, IL 60142-2512

Mailing address

11603 S Il Route 47 Ste F
Huntley, IL 60142-2512
Phone (224) 212-0006

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1992458814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE F",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "224-212-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 S IL ROUTE 47 STE F",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422512",
            "telephone_number": "224-212-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATED LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "GILPIN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "815-543-4309",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.