Active NPI
James M Bailey Jr., LPC
- Mental Health Counselor
- Deridder, LA
National Provider Identifier
1073534657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 146
- Practice address
- 735 Lecompte St
Deridder, LA 70634-3340 - Phone
- (337) 401-6010
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 146 | LA | Primary |
Addresses
Primary practice location
735 Lecompte St
Deridder, LA 70634-3340
Mailing address
735 Lecompte St
Deridder, LA 70634-3340
Phone (337) 401-6010
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 |
|---|---|---|---|
| 146 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1073534657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 LECOMPTE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706343340",
"telephone_number": "337-401-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 LECOMPTE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706343340",
"telephone_number": "337-401-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.