MS. BETSY CLAYTON SERVIS (NPI# 1366876054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366876054 |
| Entity Type | Individual |
| Full Name | MS. BETSY CLAYTON SERVIS |
| Credential | LPC-A |
| Practice Address |
119 W Depot St Mocksville NC 27028-2327 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3367515636 |
| Practice Fax Number | 3367515696 |
| Mailing Telephone | (704) 939-1100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2017-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
10068 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | HUMANA | 1336876054 | 01 |
| NC | BCBS | 186CV | 01 |
| NC | MAGELLAN | 601111-248 | 01 |
| NC | UBH/OPTUM | 1336876054 | 01 |
| NC | 1336876054 | 05 |
| Street Address |
119 W DEPOT ST |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791550 | Jocelyn Bradburn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2006-06-23 |
| 1306356258 | Martha Laurin Stroud | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-10-05 |
| 1891235685 | Lorri Jones Hayes | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-02-28 |
| 1184967390 | Rha Health Services Inc | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-04-05 |
| 1871846220 | Ariana Catherine Winn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-10-23 |
| 1730444084 | Gordon Johnson | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-07-11 |
| 1568779825 | Ashley J Golds | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2010-09-08 |
| 1689907511 | Triumph LLC | Psychologist | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-09-10 |
| 1033347323 | Kerry-ann Winebarger | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-06-25 |
| 1063568095 | Triumph LLC | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184780207 | Marc Lee Williams | Counselor | 140 Dream Haven Ln, Mocksville, NC 27028-4869 | 2007-01-01 |
| 1598791550 | Jocelyn Bradburn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2006-06-23 |
| 1154861946 | Jordan Leigh Hemmings | Counselor | 377 Hospital St Ste 100, Mocksville, NC 27028-2194 | 2017-02-28 |
| 1891235685 | Lorri Jones Hayes | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-02-28 |
| 1760824593 | Eutashia Rice | Counselor | 412 N Main St, Mocksville, NC 27028-2118 | 2013-07-22 |
| 1568779825 | Ashley J Golds | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2010-09-08 |
| 1730415647 | Annie V. Brown | Counselor | 412 N Main St, Mocksville, NC 27028-2118 | 2009-10-28 |
| 1912230392 | Amanda Davis Whicker | Counselor | 412 N Main St, Mocksville, NC 27028-2118 | 2009-09-16 |
| 1760536460 | Triumph LLC | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2007-01-22 |
| 1740375625 | Adam N. Koontz | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2006-10-04 |
| Find all providers in MOCKSVILLE | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
Please comment or provide details below to improve the information on MS. BETSY CLAYTON SERVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.