Peggy Bailey LMHC Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 3293 Issued in FL

Legal business name

PEGGY BAILEY LMHC INC

Practice address

774 State Road 13
Ste 7
Saint Johns, FL 32259-3857

Phone

(904) 287-0820

Fax

(904) 287-4141

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret E Bailey, LMHC

Title

Owner

Phone

(904) 287-0820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Developing Growth in Families Center Doing business as

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1194099077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13",
            "address_2": "STE 7",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593857",
            "telephone_number": "904-287-0820",
            "fax_number": "904-287-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13",
            "address_2": "STE 7",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593857",
            "telephone_number": "904-287-0820",
            "fax_number": "904-287-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY BAILEY LMHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-287-0820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 3293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688076296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developing Growth in Families Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.