Kaitlyn Bailey, CADACII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CII-2078 Issued in IN

Practice address

706 Green Blvd
Aurora, IN 47001-1506

Phone

(812) 727-3504

Fax

(812) 727-3504

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

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

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1013488204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 SALEM RIDGE RD",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470409435",
            "telephone_number": "812-584-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN BLVD",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470011506",
            "telephone_number": "812-727-3504",
            "fax_number": "812-727-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KAITLYN",
        "credential": "CADACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "CII-2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angie Diane Bauer, CNP
• Emily Bender, M.A.
• Charles Jay Beyer, PD
• Shai Leann Bishop, MA, LMHCA

• Addiction (Substance Use Disorder) Counselor in Aurora, IN
• Providers in Aurora, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.