Individual provider Active NPI

Iris Lynn Bailey, LPCC-S

  • Mental Health Counselor
  • Warrensville Heights, OH
National Provider Identifier
1073841847
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-0500778 Issued in OH
Practice address
4517 Renaissance Pkwy
Warrensville Heights, OH 44128-5701
Phone
(216) 360-9343
Fax
(216) 360-9345
NPI assigned
Dec 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E-0500778 OH
Pastoral Counselor 101YP1600X E0500778 OH
Professional Counselor 101YP2500X E0500778 OH
Mental Health Counselor 101YM0800X E-0500778 OH Primary

Addresses

Primary practice location

4517 Renaissance Pkwy
Warrensville Heights, OH 44128-5701

Mailing address

4517 Renaissance Pkwy
Warrensville Heights, OH 44128-5701
Phone (216) 360-9343

Other practice location 1

23611 Chagrin Blvd Ste 120
Beachwood, OH 44122-5540
Phone (216) 360-9343

Other identifiers 1

IdentifierTypeStateIssuer
0055659MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417000662 OH Practitioner - Mental Health Counselor 8729369194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Behavioral Health LLCGroup PAC ID 9638471865, 20 clinicians

Practice addresses (Care Compare)

24100 Chagrin Blvd
Suite 330
Beachwood, OH 44122-5552
Phone (800) 642-4560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-0500778OHMDMental Health Counselor
E0500778OHMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pipeline to God Communications, Inc CurrentSince Apr 17, 2022 Accepting new patients
Pipeline to God Communications, Inc. Current Accepting new patients

Locations

23611 Chagrin Blvd
Ste 120
Beachwood, OH 44122
Phone (216) 360-9343

1370 Richmond Rd
Lyndhurst, OH 44124
Phone (216) 360-9343

4517 Renaissance Pkwy
Warrensville Heights, OH 44128
Phone (216) 360-9343

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1073841847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 RENAISSANCE PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285701",
            "telephone_number": "216-360-9343",
            "fax_number": "216-360-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 RENAISSANCE PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285701",
            "telephone_number": "216-360-9343",
            "fax_number": "216-360-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23611 Chagrin Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225540",
            "country_code": "US",
            "telephone_number": "216-360-9343",
            "fax_number": "216-360-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "IRIS",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E-0500778",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OH",
            "license": "E0500778",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500778",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0500778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055659",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.