Sherisse Kelly Bailey, LCMHCS,LCASMCCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7644 Issued in NC

Practice address

2443 Lynn Rd Ste 112
Raleigh, NC 27612-6759

Phone

(919) 741-2349

NPI assigned

Dec 21, 2009

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom House Recovery Center IncGroup PAC ID 5193898229, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bailey's Innovation Group

  dba Mind Over Matters Counseling

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1609347368

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Roxboro, NC
  • NPI 1093986523
  Medicare reassignment Care Compare group NPD
• Kindnest Home Care

  • In Home Supportive Care Agency
  • Raleigh, NC
  • NPI 1184568958
  NPD Authorized official
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1205904265
  NPD
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1548490378
  NPD
• Sigma Health Services LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1962643270

  Professional

  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1083943054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 LYNN RD STE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126759",
            "telephone_number": "919-741-2349",
            "fax_number": "919-887-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 LYNN RD STE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126759",
            "telephone_number": "919-741-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHERISSE",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS,LCASMCCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1988",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7644",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Bailey
• Pamela Robynn Bailey, MSW
• Rebecca V Bailey, PA-C
• Shana Dawn Bailey, CPNP
• Sheree Lynn Bailey, RN
• Shibahn Jolene Bailey, CRNA, MS
• Talia Bailey, BSW
• Trixy Baldwin Bailey, NCC, LPC, LCAS
• Bailey's Innovation Group (Mind Over Matters Counseling)
• Bailliard Henry Pediatric Cardiology

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.