MS. BETSY CLAYTON SERVIS LPC-A
NPI 1366876054
Counselor - Professional in Mocksville, NC

Active since August 29, 2013PECOS Enrolled
119 W DEPOT ST, MOCKSVILLE, NC 27028(336) 751-5636(336) 751-5696 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Ms. Betsy Clayton Servis Lpc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BETSY CLAYTON SERVIS LPC-A (NPI 1366876054) is an individual professional provider in Mocksville, North Carolina, licensed in North Carolina (10068) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366876054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. BETSY CLAYTON SERVISCredential: LPC-A
Location Address119 W DEPOT STMocksville, NC 27028-2327
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Fax(336) 751-5696
Sole ProprietorNo
Enumeration DateAugust 29, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1366876054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 10068
119 W DEPOT ST, Mocksville, NC 27028

Other Identifiers 5

Other601111-248NC · Magellan
Other1336876054NC · Humana
Other186CVNC · Bcbs
Other1336876054NC · Ubh/optum
Medicaid1336876054NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Betsy Clayton Servis Lpc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Betsy Servis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
119 W DEPOT ST
MOCKSVILLE, NC 27028
Community/Behavioral Health
119 W DEPOT ST
MOCKSVILLE, NC 27028
Community/Behavioral Health
119 W DEPOT ST
MOCKSVILLE, NC 27028
Counselor (Professional)
119 W DEPOT ST
MOCKSVILLE, NC 27028
Social Worker (Clinical)
119 W DEPOT ST
MOCKSVILLE, NC 27028
Counselor (Professional)
119 W DEPOT ST
MOCKSVILLE, NC 27028
Counselor (Professional)
119 W DEPOT ST
MOCKSVILLE, NC 27028
Psychologist (Clinical)
119 W DEPOT ST
MOCKSVILLE, NC 27028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betsy Servis's NPI number?

The NPI number for Betsy Servis is 1366876054. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Betsy Servis located?

Betsy Servis practices at 119 W Depot St, Mocksville, NC 27028. The listed phone number is (336) 751-5636.

What is Betsy Servis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Betsy Servis enrolled in Medicare?

Yes. Betsy Servis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Betsy Servis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Servis reassigns Medicare benefits to Thriveworks Clinical - North Carolina PC (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betsy Servis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Servis accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Betsy Servis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Betsy Servis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.