Active NPI
Nathan Bailey
- Professional Counselor
- Lower Gwynedd, PA
National Provider Identifier
1114481918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005848
- Practice address
- 1018 N Bethlehem Pike Ste 203-3
Lower Gwynedd, PA 19002-2186 - Phone
- (484) 941-3674
- NPI assigned
- Jan 25, 2019
- Last updated
- Jan 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005848 | PA | Primary |
Addresses
Primary practice location
1018 N Bethlehem Pike Ste 203-3
Lower Gwynedd, PA 19002-2186
Mailing address
17 Nottingham LN
Horsham, PA 19044-1026
Phone (484) 941-3674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2024 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005848 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1114481918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 NOTTINGHAM LN",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190441026",
"telephone_number": "484-941-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 N BETHLEHEM PIKE STE 203-3",
"city": "LOWER GWYNEDD",
"state": "PA",
"postal_code": "190022186",
"telephone_number": "484-941-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lower Gwynedd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.