Janelle Maria Bailey, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003383A Issued in IN

Practice address

5310 Merchandise Dr
Fort Wayne, IN 46825-5140

Phone

(260) 602-8331

NPI assigned

Oct 29, 2018

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Node Wellness, Inc.

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1942622865
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1063989978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 WILDCAT CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149022",
            "telephone_number": "260-515-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 MERCHANDISE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255140",
            "telephone_number": "260-602-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JANELLE",
        "middle_name": "MARIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003383A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalah Baer
• Jason C Bagley, RPH
• Vicki L Bahls, NP
• Retushi Baidya
• Christopher B Bailey, PA-C
• Jason R Bailey, DO
• Kayla Bailey
• Kimberly Ann Bailey, LCSW
• Kylie Mackenzie Bailey, MS CCC-SLP CLC
• Michelle A Bailey, R.N., NP-C

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.