Individual provider Active NPI

Marylou Carol Bailey, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1265547863
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT27785 Issued in CA
Practice address
874 57TH St
Sacramento, CA 95819-3327
Phone
(916) 451-2567
NPI assigned
Aug 21, 2006
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT27785 CA Primary

Addresses

Primary practice location

874 57TH St
Sacramento, CA 95819-3327

Mailing address

874 57TH St
Sacramento, CA 95819-3327
Phone (916) 451-2567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240722000570 CA Practitioner - Marriage and Family Therapist 3274079710 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

874 57TH St
Sacramento, CA 95819-3327
Phone (916) 825-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT27785CAMDMarriage & Family Therapist
27785CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Family Harmony Marriage & Family Therapist Past Accepting new patients
Marriage & Family Therapy for Peace of Mind Corporation Marriage & Family Therapist PastSince Mar 12, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1265547863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193327",
            "telephone_number": "916-451-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193327",
            "telephone_number": "916-451-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARYLOU",
        "middle_name": "CAROL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT27785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.