Individual provider Active NPI

Anna Carolina Bailey, MS, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1093392094
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4093 Issued in MN
Practice address
5 21St Ave N Ste 12
Saint Cloud, MN 56303-4323
Phone
(320) 247-4845
NPI assigned
Mar 25, 2021
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4093 MN Primary

Addresses

Primary practice location

5 21St Ave N Ste 12
Saint Cloud, MN 56303-4323

Mailing address

5 21St Ave N Ste 12
Saint Cloud, MN 56303-4323
Phone (320) 247-4845

Other practice location 1

9766 Fallon Ave NE Ste 202
Monticello, MN 55362-4589
Phone (763) 732-3351 ext. 708

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4093MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing to Discover LLC Marriage & Family Therapist CurrentSince Apr 6, 2023 Accepting new patients

Locations

5 21st Ave N
Ste 12
Saint Cloud, MN 56303
Phone (320) 247-4845

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1093392094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 21ST AVE N STE 12",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034323",
            "telephone_number": "320-247-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 21ST AVE N STE 12",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034323",
            "telephone_number": "320-247-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9766 Fallon Ave NE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MN",
            "postal_code": "553624589",
            "country_code": "US",
            "telephone_number": "763-732-3351 x708",
            "fax_number": "763-322-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ANNA",
        "middle_name": "CAROLINA",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.