Benjamin Bailey, CMHC, SUDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9839496-6004 Issued in UT

Practice address

295 S Staci CT
Cedar City, UT 84720-1826

Phone

(702) 234-8240

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1093576449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S STACI CT",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201826",
            "telephone_number": "702-234-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S STACI CT",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201826",
            "telephone_number": "702-234-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BENJAMIN",
        "credential": "CMHC, SUDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "9839496-6006",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9839496-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Marie Bacon
• Jorge Baez
• Chris Bagby, CMHC
• Alaina K Baggs, BACB1360791
• Benjamin M Bahr
• Cody Bailey
• Samuel Bailey
• Alex Baker
• Derek Baker
• Shane Arthur Baker, M.D.

• Mental Health Counselor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.