Emily Elizabeth Bailey, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6385 Issued in LA

Practice address

7505 Pines Rd Ste 1115
Shreveport, LA 71129-3900

Phone

(318) 683-4086

Fax

(318) 623-4087

NPI assigned

Mar 14, 2007

Last updated

Dec 21, 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

Other names 1

• Ms. Emily Elizabeth Maynor Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Azalea Health ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Azalea Health Services

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1043999170
  Medicare reassignment Care Compare group NPD
• Azalea Health Services Texas LLC

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1326871807
  NPD
• Courtney Miller, LPC North Bossier Counseling Corp

  • Counselor
  • Benton, LA
  • NPI 1417540170
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1255464566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 BURROW LN",
            "city": "COTTON VALLEY",
            "state": "LA",
            "postal_code": "710182932",
            "telephone_number": "183-510-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1115",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-683-4086",
            "fax_number": "318-623-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Burrow Ln",
            "address_purpose": "LOCATION",
            "city": "Cotton Valley",
            "state": "LA",
            "postal_code": "710182932",
            "country_code": "US",
            "telephone_number": "183-510-4784",
            "fax_number": "318-213-1388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MAYNOR",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Verda Baig
• Monica V Bailes, RN
• Anjanette Bailey
• Danielle Bailey, LCSW
• Derrika Angel Bailey, LCSW-BACS
• Janeece R Bailey, R.N.C.,W.H.N.P.
• Kailani Brionna Bailey
• Katrina L Bailey, BACHELOR
• Kim Bailey, LPC, LMFT, SAP
• Steven R Bailey, MD

• Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.