Individual provider Active NPI

Bailey Dae Mitchell

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1144747882
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2901 Issued in KS
Practice address
9415 E Harry St
Wichita, KS 67207-5089
Phone
(316) 685-1821
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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 2901 KS Primary

Addresses

Primary practice location

9415 E Harry St
Wichita, KS 67207-5089

Mailing address

9415 E Harry St
Wichita, KS 67207-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20231220001650 KS Practitioner - Marriage and Family Therapist 5294144317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Care LLC Marriage & Family Therapist Current Accepting new patients
Amy Meek Family Therapy Group LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Mindful Collective LLC Marriage & Family Therapist CurrentSince Jul 21, 2024 Accepting new patients

Locations

1525 N Buckner St
Derby, KS 67037
Phone (316) 788-6464

218 W Greenway St
Derby, KS 67037
Phone (316) 258-0422

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1144747882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075089",
            "telephone_number": "316-685-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BAILEY",
        "middle_name": "DAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.