Individual provider Active NPI

Meredith Leigh Edgar-Bailey, MS ED., PCC-S

  • Mental Health Counselor
  • Boardman, OH
National Provider Identifier
1073949640
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1000069 Issued in OH
Practice address
8261 Market St
Boardman, OH 44512-6254
Phone
(330) 286-0050
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1000069 OH Primary

Addresses

Primary practice location

8261 Market St
Boardman, OH 44512-6254

Mailing address

8261 Market St
Boardman, OH 44512-6254
Phone (330) 286-0050

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
I20240201002047 OH Practitioner - Mental Health Counselor 6204289671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Travco Behavioral Health, Inc.Group PAC ID 3476623026, 10 clinicians

Practice addresses (Care Compare)

8261 Market St
Boardman, OH 44512-6254
Phone (330) 286-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
E.1000069OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Travco Behavioral Health, Inc. Mental Health CurrentSince Dec 3, 2023 Accepting new patients

Locations

4030 Boardman Canfield Rd
Ste 200C
Canfield, OH 44406

8261 Market St
Youngstown, OH 44512
Phone 3302860050309

8261 Market St
Ste A
Youngstown, OH 44512
Phone (330) 758-4446

Organizations & group practices 1

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1073949640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050",
            "fax_number": "330-286-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR-BAILEY",
        "first_name": "MEREDITH",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MS ED., PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1000069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.