Carolyn Joy Bailey, L.M.H.C.
Individual provider Active NPI Mental Health Counselor · Middleton, MA
NPI 1154483709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154483709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4266 (MA)
- Practice address
- 10 Maple St
Suite 204
Middleton, MA 01949-2200 - Phone
- (978) 352-5325
- Fax
- (978) 777-9974
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Haverhill Rd
Suite 316
Amesbury, MA 01913-2126
Phone (978) 547-1484
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924002919 | MA | Practitioner - Mental Health Counselor | 3577004043 | Practice locations: Amesbury, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4266 | MA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4266 | MA | Yes |
Addresses
Primary practice location
10 Maple St
Suite 204
Middleton, MA 01949-2200
Mailing address
PO Box 267
Amesbury, MA 01913-0007
Phone (978) 352-5325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM0884 | Other | MA | BLUE CROSS BLUE SHIELD |
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All providers in Middleton, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.