Active NPI
Bailey Christine Ivicevic
- Mental Health Counselor
- San Marcos, CA
National Provider Identifier
1013795137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18205
- Practice address
- 325 Buena Creek Rd
San Marcos, CA 92069-9679 - Phone
- (760) 566-3566
- NPI assigned
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18205 | CA | |
| Social Worker | 104100000X | 18205 | CA | |
| Clinical Social Worker | 1041C0700X | 18205 | CA | |
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | 18205 | CA | Primary |
Addresses
Primary practice location
325 Buena Creek Rd
San Marcos, CA 92069-9679
Mailing address
1858 Thibodo Rd Apt 203
Vista, CA 92081-7577
Phone (760) 535-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18205 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1013795137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 THIBODO RD APT 203",
"city": "VISTA",
"state": "CA",
"postal_code": "920817577",
"telephone_number": "760-535-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BUENA CREEK RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920699679",
"telephone_number": "760-566-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVICEVIC",
"first_name": "BAILEY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "18205",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "18205",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18205",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "18205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.