Kaneisha D Bailey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78931 Issued in TX

Practice address

4215 Gannon LN
Dallas, TX 75237-2914

Phone

(972) 283-9090

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Oaks Geriatric Services P CGroup PAC ID 9234034075, 45 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 and National Provider Directory roles.

• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment Care Compare group NPD
• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120
  Medicare reassignment
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104477579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 PALOMINO DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171516",
            "telephone_number": "682-269-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 GANNON LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372914",
            "telephone_number": "972-283-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 Palomino Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171516",
            "country_code": "US",
            "telephone_number": "682-269-8069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KANEISHA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-03-20",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bailey, RN
• Jolie A. Bailey, M.D.
• Jordan Michael Bailey, PA-C
• Jordan R. Bailey, LMSW, MT-BC
• Kala Jordan Bailey, MD
• Kenneth Chase Bailey, PH.D
• Kimber Bailey
• Kristena Marie Bailey, QMHP-CS
• Lauren Bailey, PHARM D
• Lisa Elizabeth Bailey

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.