Katelyn E Bailey, LMFT 137123

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

137123 Issued in CA

Practice address

102 W Joann Dr
Wilmore, KY 40390-1512

Phone

(845) 519-5758

NPI assigned

Aug 27, 2018

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1215418348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W JOANN DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901512",
            "telephone_number": "845-519-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W JOANN DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901512",
            "telephone_number": "845-519-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Churn Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960022513",
            "country_code": "US",
            "telephone_number": "530-223-2822",
            "fax_number": "530-223-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KATELYN",
        "middle_name": "E",
        "credential": "LMFT 137123",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie E. Aleshire, APRN
• Asbury University
• Sarah Beeghly
• Mallory M Bitterman
• John Norwood Chapman, MD
• Christopher Alex Clark, LMFT
• Joel Ellis Clark, P.T.

• Marriage & Family Therapist in Wilmore, KY
• Providers in Wilmore, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.