Individual provider Active NPI

Patricia Lynn Bailey

  • Marriage & Family Therapist
  • Yelm, WA
National Provider Identifier
1225504137
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61236100 Issued in WA
Practice address
18511 Rampart Dr SE
Yelm, WA 98597-9383
Phone
(564) 999-7062
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MG61006925 WA
Marriage & Family Therapist 106H00000X LF61236100 WA Primary

Addresses

Primary practice location

18511 Rampart Dr SE
Yelm, WA 98597-9383

Mailing address

711 State Ave NE
Olympia, WA 98506-3984

Other names 1

  • Patricia Lynn Gary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109003150 WA Practitioner - Marriage and Family Therapist 5799213377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Cooper Point Rd SW
Suite 22
Olympia, WA 98502-1179
Phone (561) 201-9281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MG61006925WAMDCounselor
LF61236100WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blu Orchard Therapy of Washington CurrentSince Sep 1, 2024 Accepting new patients
Blu Orchard Mental Health CurrentSince Sep 8, 2024 Accepting new patients

Locations

1800 Cooper Point Rd SW
Ste 22
Olympia, WA 98502
Phone (561) 201-9281

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1225504137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 STATE AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 RAMPART DR SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979383",
            "telephone_number": "564-999-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MG61006925",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61236100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GARY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

Verify at the official NPI Registry.