Rebekah Camille Bailey, AMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW94573 Issued in CA

Practice address

12755 W End Rd
Arcata, CA 95521-8956

Phone

(707) 845-8737

Fax

(707) 443-3204

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By 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

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.

• Healing Strides Psychotherapy, Inc.

  • Counseling Psychologist
  • Blue Lake, CA
  • NPI 1124400155
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1245855105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6860",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026860",
            "telephone_number": "707-443-3384",
            "fax_number": "707-443-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 W END RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218956",
            "telephone_number": "707-845-8737",
            "fax_number": "707-443-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "REBEKAH",
        "middle_name": "CAMILLE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW94573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Austin
• Angela Averitt
• Loren Martin Azevedo, O. D.
• Danielle Baca
• Kelsey Nicole Bahena, ASW
• Jessica Baker, LAC, DIPL. OM
• Donna Elaine Bankson, MA, CCC-SLP
• Melanie K Barnett, LMFT
• Anastasia Barron
• Trish Alayne Barsanti, D.D.S.

• Clinical Social Worker in Arcata, CA
• Providers in Arcata, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.