Active NPI
Andrew Bailey, CT
- Professional Counselor
- Mansfield, OH
National Provider Identifier
1063127157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2406013
- Practice address
- 680 Park Ave W
Mansfield, OH 44906-3706 - Phone
- (419) 528-5993
- Fax
- (567) 560-5483
- NPI assigned
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2406013 | OH | Primary |
Addresses
Primary practice location
680 Park Ave W
Mansfield, OH 44906-3706
Mailing address
1404 Park Ave W Ste 2
Ontario, OH 44906-2719
Phone (419) 522-6191
Other practice location 1
600 W 3rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191
Other practice location 2
320 Executive Dr
Marion, OH 43302-6310
Phone (740) 387-5210
Other practice location 3
2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone (419) 834-8889
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1063127157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 PARK AVE W STE 2",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062719",
"telephone_number": "419-522-6191",
"fax_number": "419-526-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 PARK AVE W",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063706",
"telephone_number": "419-528-5993",
"fax_number": "567-560-5483"
}
],
"practiceLocations": [
{
"address_1": "600 W 3rd St",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449062633",
"country_code": "US",
"telephone_number": "419-522-6191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 Executive Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433026310",
"country_code": "US",
"telephone_number": "740-387-5210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2458 Stetzer Rd",
"address_purpose": "LOCATION",
"city": "Bucyrus",
"state": "OH",
"postal_code": "448202066",
"country_code": "US",
"telephone_number": "419-834-8889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "ANDREW",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2406013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.