Bailey Ralston, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

130 N College Ave Ste G
Fayetteville, AR 72701-5343

Phone

(479) 785-4083

Fax

(479) 434-6248

NPI assigned

Jul 19, 2024

Last updated

Jul 19, 2024By 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

Practice roles

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.

• Gateway Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Fort Smith, AR
  • NPI 1184010282
  NPD (past)
• Harbor House Incorporated of Fort Smith Arkansas

  dba Harbor House, Incorporated

  • Substance Abuse Rehabilitation Facility
  • Fort Smith, AR
  • NPI 1922166123
  NPD (past)

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1215775580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013915",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N COLLEGE AVE STE G",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015343",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "BAILEY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakendra Ketrelle Radford
• Shelby Ragsdale
• Shefa Rahman, M.D.
• Rainy Day Therapy LLC
• Luke Rallens, QBHP
• Sita Ramasamy
• Jeremy Ramos
• Pamela R Ramsfield
• Rana & Fry Enterprises LLC (Access Therapy Group)
• Ryan Lee Rana, PHD.

• Professional Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.