NPIMap

Individual provider Active NPI

Nancy Ann Bailey, LPC

  • Professional Counselor
  • Shelby, NC
National Provider Identifier
1184666240
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3588 Issued in NC
Practice address
809 N Lafayette St
Suite a
Shelby, NC 28150-3978
Phone
(704) 284-0554
Fax
(704) 448-2003
NPI assigned
Jun 12, 2006
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3588 NC Primary
Professional Counselor 101YP2500X 1963 SC

Addresses

Primary practice location

809 N Lafayette St
Suite a
Shelby, NC 28150-3978

Mailing address

809 N Lafayette St
Suite a
Shelby, NC 28150-3978
Phone (704) 284-0554

Other identifiers 2

IdentifierTypeStateIssuer
6102629MedicaidNC
137C6OtherNCBC/BS PIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004805 NC Practitioner - Mental Health Counselor 9436593258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1963SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Human Services of North Carolina, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Pathways Human Services of North Carolina, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Pathways Human Services of North Carolina, LLC Professional Current Accepting new patients
Pathways Human Services of North Carolina, LLC Professional Past Accepting new patients

Locations

2300 Sardis Rd N
Ste N
Charlotte, NC 28227
Phone (704) 521-4877

621 Huntsman Ct
Gastonia, NC 28054
Phone (704) 671-4487

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1184666240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503978",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503978",
            "telephone_number": "704-284-0554",
            "fax_number": "704-448-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3588",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN NUMBER",
            "identifier": "137C6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.