Active NPI
Gwendolyn Faye Hanigan Baily, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1164561973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0511
- Practice address
- 8727 S Priest Dr
Suite 102
Tempe, AZ 85284-1915 - Phone
- (480) 838-7273
- Fax
- (480) 704-0083
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC0511 | AZ | Primary |
Addresses
Primary practice location
8727 S Priest Dr
Suite 102
Tempe, AZ 85284-1915
Mailing address
8727 S Priest Dr
Suite 102
Tempe, AZ 85284-1915
Phone (480) 838-7273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCC28647 | Other | NATIONAL BOARD CERTIFIED | |
| LPC0511 | Other | AZ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0511 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adobe Behavioral Counseling Services LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Tempe, AZ
- NPI 1396884193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1164561973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8727 S PRIEST DR",
"address_2": "SUITE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841915",
"telephone_number": "480-838-7273",
"fax_number": "480-704-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8727 S PRIEST DR",
"address_2": "SUITE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841915",
"telephone_number": "480-838-7273",
"fax_number": "480-704-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANIGAN BAILY",
"first_name": "GWENDOLYN",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC0511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD CERTIFIED",
"identifier": "NCC28647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPC0511",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.