Bailey Jacobs

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6400 W 110TH St Ste 202
Overland Park, KS 66211-1585

Phone

(816) 892-0937

Fax

(816) 379-3748

NPI assigned

Jan 5, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Attachment and Trauma Therapy LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1720592330

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1114515129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W 110TH ST STE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111585",
            "telephone_number": "816-892-0937",
            "fax_number": "816-379-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W 110TH ST STE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111585",
            "telephone_number": "816-892-0937",
            "fax_number": "816-379-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BAILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drive.google.com/drive/folders/1R44kqQigBGDsfWICY-chFU1wzYy6yeuW",
            "affiliation": "N",
            "endpointDescription": "Drive Folder Access",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "doc, pdf, excel, jpg, png, etc",
            "address_1": "6400 W 110th St Ste 202",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrian P Jackson, M.D.
• Haley Jackson, COTA
• Randall Jackson
• Robert Vincent Jackson, M.D.
• Victoria Jackson
• Callie Jacobs, PTA
• Cristina Louise Jacobs, NP
• Jacob Tyler Jacobs, PT, DPT
• Jonathan T. Jacobs, M.D.
• Kendall Paige Jacobs

• Mental Health Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.